Publix North Carolina LP
NPI #1457872137 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1457872137
- Entity Type
- Organization
- Organization Name
- Publix North Carolina LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 3, 2017
- Last Updated
- Jan 3, 2020
Practice Location
- Address
- 3150 GAMMON LN
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-9052
- Phone
- (336) 293-9704
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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