Provider Information for 1184665689
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PUBLIX SUPER MARKETS INC
Other Names:Doing Business As:PUBLIX PHARMACY #0620Organization Subpart: NO
NPI: 1184665689
Last Updated: 2019-12-03
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Details
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NPI | 1184665689 | ||||||||||||||||
Enumeration Date | 2006-06-08 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: DAIN RUSK Title: VP Pharmacy Phone: 8636881188 | ||||||||||||||||
Mailing Address | PO BOX 639680 CINCINNATI, OH 45263-9680 United States Phone: 863-688-1188 | Fax:863-616-5846 | ||||||||||||||||
Primary Practice Address | 11977 SOUTHERN BLVD ROYAL PALM BEACH, FL 33411-7619 United States Phone: 561-792-2106 | Fax:561-792-2110 | ||||||||||||||||
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