| NPI | 1215977152 |
|---|---|
| Doing Business As | PUBLIX PHARMACY #0364 |
| Entity Type | Organization |
| Authorized Contact | SARAH POPE Contract Administrator 863-688-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH0010534) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-23 |