NPI | 1548595416 |
---|---|
Doing Business As | PUBLIX PHARMACY #1278 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24291) |
Enumeration Date | 2009-10-12 |
Last Update Date | 2019-12-06 |