Organization

Publix Super Markets Inc

May also be knows as Publix Pharmacy #1472

Community/Retail Pharmacy in Port Saint Lucie, FL(View on Map)

Legal Business Name

Publix Super Markets Inc

Also Known As

Publix Pharmacy #1472

NPI Number

1982097523

NPI Type

Organization

Enumeration Date

03/06/2015

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

PH29011

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 639680
9335 SW COMMERCE CENTRE DR

City

Cincinnati
Port Saint Lucie

State

OH
FL

Postal Code

45263-9680
34986-8500

Country

US
US

Telephone Number

(863) 688-1188
(772) 345-9505

Authorized Official

Name

Dain Rusk

Title or Position

VP PHARMACY

Telephone Number

(863) 688-1188

Identifiers

Identifier

014816400
014816401
2151049

Identifier State

FL
FL
Unknown

Identifier Issuer

Unknown
Unknown
PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2019

Provider Address

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