NPI | 1215462072 |
---|---|
Doing Business As | PUBLIX PHARMACY #3219 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2022-02-01 |