Publix Tennessee LLC

NPI #1801041900 in Ooltewah, Tennessee

Provider Information

NPI Number
1801041900
Entity Type
Organization
Organization Name
Publix Tennessee LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 18, 2008
Last Updated
Feb 28, 2024

Practice Location

Address
5958 SNOW HILL RD STE 168
ZIP Code
37363-7834
Phone
(423) 238-2105

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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