Publix Pharmacy #1202
LBN: Publix Alabama Llc
Publix Pharmacy #1202 is an health care organization with primary practice located at 365 Huntley Pkwy , Pelham AL 35124-6164. 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) 620-0691, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
365 Huntley Pkwy
Pelham AL 35124-6164
Phone: (205) 620-0691
Fax: (205) 620-0919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 113133 | Alabama |
Profile Details
| NPI number | 1669635587 |
|---|---|
| LBN Legal business name | Publix Alabama Llc |
| DBA Doing business as | Publix Pharmacy #1202 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2008 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669635587 | NPPES |
| Other | 2116353 | PK | |
| MEDICAID | 104324 | PK |
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