Publix Pharmacy #1265

LBN: Publix Alabama Llc
Publix Pharmacy #1265 is an health care organization with primary practice located at 22530 Us Highway 98 Ste 100 , Fairhope AL 36532-6398. 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 (251) 929-7359, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
22530 Us Highway 98 Ste 100 Fairhope AL 36532-6398
Fax: (251) 929-7364
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 113259 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609003441
LBN Legal business name Publix Alabama Llc
DBA Doing business as Publix Pharmacy #1265
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2009
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 1609003441 NPPES
Other 2120736 PK
MEDICAID 1609003441 PK

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