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Organization

PUBLIX SUPER MARKETS, INC.

Active
Other names
Publix Pharmacy #1849
Organization subpart
No

Provider details

NPI number
Authorized official
DAIN RUSK (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
1725 FUTURE WAY, KISSIMMEE, FL 34747
(407) 550-9011
(321) 594-7791
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5810

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
11/15/2022
Last updated
06/24/2024
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