Publix Super Markets INC

NPI #1225078645 in Hampton, Georgia

Provider Information

NPI Number
1225078645
Entity Type
Organization
Organization Name
Publix Super Markets INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 7, 2006
Last Updated
Aug 4, 2015

Practice Location

Address
11155 TARA BLVD
State
Georgia
ZIP Code
30228-1672
Phone
(770) 473-6886

Authorized Official

Name
JACQUELINE RUSCH
Title
MANAGER OF MANAGED CARE
Phone
(863) 688-1188

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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