NPIMap

Publix

Organization Active NPI Pharmacist · Eustis, FL

NPI 1679958128 · NPPES record last updated Jul 27, 2015

Key facts

NPI
1679958128
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
PS0053563 (FL)
Legal business name
PUBLIX
Practice address
2840 David Walker Dr
Eustis, FL 32726-6172
Phone
(352) 357-9168
NPI assigned
Jul 27, 2015
Organization subpart
No

Authorized official

Name
Linda Kane
Title
VP Ben Adm and Assistant Secretary
Phone
(863) 688-1188

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Publix Pharmacy 7413 (1,155 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP		 183500000X PS0053563 FL Yes

Addresses

Primary practice location

2840 David Walker Dr
Eustis, FL 32726-6172

Mailing address

2840 David Walker Dr
Eustis, FL 32726-6172
Phone (352) 357-9168

Other identifiers

IdentifierTypeStateIssuer
PS0053563OtherFLLICENSE

Other providers in Eustis, FL

All providers in Eustis, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.