NPI | 1053780122 |
---|---|
Doing Business As | PUBLIX PHARMACY #1493 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29439) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2015-09-18 |
Last Update Date | 2019-12-03 |