NPI | 1669635587 |
---|---|
Doing Business As | PUBLIX PHARMACY #1202 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113133) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2020-01-03 |