OrganizationPublix Super Markets, Inc.(Publix Pharmacy #3224)PharmacySuppliersPractice Address1240 S Old Dixie Hwy, Jupiter, FL 33458-7205(561) 529-8849(863) 688-1188PECOS EnrollmentBased on the most recent information from CMS, provider Publix Super Markets, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407489370Provider TypeOrganizationFull NamePublix Super Markets, Inc.Other NamePublix Pharmacy #3224SubpartNoEnumeration Date2/19/2020Last Updated10/15/2020Contact InformationPractice LocationPractice Address1240 S Old Dixie Hwy, Jupiter, FL 33458-7205Phone(561) 529-8849FaxUnlisted FaxMailing LocationMailing AddressPO Box 407, Lakeland, FL 33802-0407Phone(863) 688-1188FaxUnlisted FaxAuthorized OfficialNameRusk, Dain (Vp Pharmacy)Phone(863) 688-1188Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336C0002XDescriptionPharmacySuppliersLicenseUnlisted Issuer