| NPI | 1710926720 |
|---|---|
| Doing Business As | PUBLIX PHARMACY #0330 |
| Entity Type | Organization |
| Authorized Contact | DALE HOUSTON Manager Of Managed Care 863-688-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0020003) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-10-11 |