Publix Tennessee, LLC

NPI #1629768957 in Ooltewah, Tennessee

Provider Information

NPI Number
1629768957
Entity Type
Organization
Organization Name
Publix Tennessee, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 10, 2023
Last Updated
Sep 29, 2023

Practice Location

Address
1688 OOLTEWAH RINGGOLD RD, SUITE 100
ZIP Code
37363
Phone
(423) 508-6835

Authorized Official

Name
DAIN RUSK
Title
VICE PRESIDENT OF 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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