| 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 |