Publix Pharmacy #0075

LBN: Publix Alabama Llc
Publix Pharmacy #0075 is an health care organization with primary practice located at 4851 Rice Mine Rd Ne Ste 200 , Tuscaloosa AL 35406-3571. 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) 247-4721, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
4851 Rice Mine Rd Ne Ste 200 Tuscaloosa AL 35406-3571
Phone: (205) 247-4721
Fax: (205) 247-7922
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Dain
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112402 Alabama

Profile Details

NPI number 1306886726
LBN Legal business name Publix Alabama Llc
DBA Doing business as Publix Pharmacy #0075
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 3rd, 2020 - about 4 years 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 1306886726 NPPES
Other 1995255 PK
MEDICAID 100003534 PK

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