NPI | 1124069612 |
---|---|
Doing Business As | PUBLIX PHARMACY #0602 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50004326) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2019-11-18 |