OrganizationActive
Publix Super Markets, Inc
NPI 1104599372 · Community/Retail Pharmacy · Golf, FL
Provider details
- NPI number
- 1104599372
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dain Rusk, Vp Pharmacy(863) 688-1188
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
11200 S Military Trail
Golf, FL 33436
Phone: (561) 903-3140
Fax: (561) 413-9242
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 639680
Cincinnati, OH 45263-9680
Other names (DBA / former)
- Doing business as
- Publix Pharmacy 1749
- Doing business as
- Publix Pharmacy 1749
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.