NPI | 1568745081 |
---|---|
Doing Business As | PUBLIX PHARMACY #1266 |
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 (Licence: SC 13530) | |
Enumeration Date | 2011-09-21 |
Last Update Date | 2024-02-28 |