Publix | |
27615 Us Highway 27 Leesburg FL 34748-9396 | |
(352) 787-2122 | |
Not Available |
Full Name | Publix |
---|---|
Speciality | Clinic/center - Community Health |
Location | 27615 Us Highway 27, Leesburg, Florida |
Authorized Official Name and Position | Allison Manlulu Megano (PHARMACIST) |
Authorized Official Contact | 5618667248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Publix 8657 Vista Del Boca Dr Boca Raton FL 33433-2528 Ph: (561) 866-7248 | Publix 27615 Us Highway 27 Leesburg FL 34748-9396 Ph: (352) 787-2122 |
NPI Number | 1154719078 |
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Provider Enumeration Date | 12/30/2014 |
Last Update Date | 12/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154719078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | PS52607 (Florida) | Primary |
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