Publix Pharmacy
Early Intervention Provider Agency in Plantation, FL. Organization (NPI-2).
NPI number1194195909
StatusActive
Last updated in NPPESOct 6, 2015
Details
- NPI
- 1194195909
- Entity type
- Organization (NPI-2)
- Legal business name
- Publix Pharmacy
- Organization subpart
- No
- Enumeration date
- Oct 6, 2015
- Last updated
- Oct 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | PS54032 | FL | Yes |
Practice location
8101 W Sunrise BlvdPlantation, FL 33322-5401
Phone 954-473-9255
Mailing address
8101 W Sunrise BlvdPlantation, FL 33322-5401
Authorized official
Nicole Hope
Pharmacist
9546755088
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