| NPI | 1851331276 |
|---|---|
| Doing Business As | PUBLIX PHARMACY #0466 |
| Entity Type | Organization |
| Authorized Contact | FRED OTTOLINO VP Of Pharmacy 863-688-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE007694) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-04-11 |