Publix Super Markets INC
NPI #1194195925 in Lake Wylie, South Carolina
Provider Information
- NPI Number
- 1194195925
- Entity Type
- Organization
- Organization Name
- Publix Super Markets INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Nov 18, 2019
Practice Location
- Address
- 158 HIGHWAY 274
- City
- Lake Wylie
- State
- South Carolina
- ZIP Code
- 29710-6045
- Phone
- (803) 831-5672
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 Pharmacy — Community/Retail Pharmacy |
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