Publix
Organization Active NPI Community/Retail Pharmacy · Fort Myers, FL
NPI 1356711089 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1356711089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1629017595 (FL)
- Legal business name
- PUBLIX
- Practice address
- 4065 Hancock Bridge Pkwy
Fort Myers, FL 33903-4294 - Phone
- (239) 997-0212
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Maggie King
- Title
- District Manager
- Phone
- (239) 206-7993
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Publix Pharmacy 7413
Locations
4065 Hancock Bridge Pkwy
North Ft Myers, FL 33903
Phone (239) 997-0008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1629017595 | FL | Yes |
Addresses
Primary practice location
4065 Hancock Bridge Pkwy
Fort Myers, FL 33903-4294
Mailing address
4065 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS54008 | Other | FL | REGISTERED PHARMACIST |
Other providers in Fort Myers, FL
- Psychiatric Center of Florida
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- Colleen Pszczolkowski
- Emily Catherine Ptaszek
- PTSD Awareness Summit
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets Inc
All providers in Fort Myers, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.