NPI | 1124355656 |
---|---|
Doing Business As | PUBLIX PHARMACY #1237 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24289) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2019-12-06 |