Publix Alabama LLC

NPI #1063704690 in Dothan, Alabama

Provider Information

NPI Number
1063704690
Entity Type
Organization
Organization Name
Publix Alabama LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 16, 2011
Last Updated
Jan 3, 2020

Practice Location

Address
3525 ROSS CLARK CIR
Address 2
SUITE 100
City
Dothan
State
Alabama
ZIP Code
36303-5933
Phone
(334) 792-4812

Authorized Official

Name
DAIN RUSK
Title
VP PHARMACY
Phone
(863) 688-1188

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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