Publix Pharmacy #1539

LBN: Publix North Carolina Lp
Publix Pharmacy #1539 is an health care organization with primary practice located at 134 Venture Ln , Statesville NC 28625-2740. 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 North Carolina Lp can be contacted via phone (704) 380-6134, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
134 Venture Ln Statesville NC 28625-2740
Phone: (704) 380-6134
Fax:
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

Profile Details

NPI number 1033661764
LBN Legal business name Publix North Carolina Lp
DBA Doing business as Publix Pharmacy #1539
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2016
Last updated Jan 3rd, 2020 - about 5 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 1033661764 NPPES
Other 2167641 PK

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