Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1406
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
463855 STATE ROAD 200, YULEE, FL 32097-3639
(904) 261-2405
(904) 261-2410
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004789900
—
FL
05
—
004789901
—
FL
01
—
2134071
PK
—
Enumeration date
03/05/2012
Last updated
12/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us