| NPI | 1174562086 |
|---|---|
| Doing Business As | PUBLIX PHARMACY #0350 |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RUSCH Manager Of Managed Care 863-688-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0010283) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-08-03 |