Publix Pharmacy #1391

LBN: Publix Alabama Llc
Publix Pharmacy #1391 is an health care organization with primary practice located at 2040 Martin St S , Pell City AL 35128-2326. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Publix Alabama Llc can be contacted via phone (205) 338-4081, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
2040 Martin St S Pell City AL 35128-2326
Fax: (205) 814-6239
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 113790 Alabama

Profile Details

NPI number 1134408339
LBN Legal business name Publix Alabama Llc
DBA Doing business as Publix Pharmacy #1391
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2011
Last updated Feb 28th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134408339 NPPES
Other 2131367 PK
MEDICAID 132988 PK
MEDICAID 1134408339 PK

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