Publix Pharmacy #1555
LBN: Publix North Carolina Lp
Publix Pharmacy #1555 is an health care organization with primary practice located at 4055 Harris Square Dr , Harrisburg NC 28075. 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) 916-4440, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
4055 Harris Square Dr
Harrisburg NC 28075
Phone: (704) 916-4440
Fax: (704) 706-9697
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | 13552 | North Carolina |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1760994008 |
---|---|
LBN Legal business name | Publix North Carolina Lp |
DBA Doing business as | Publix Pharmacy #1555 |
Authorized official | Rusk, Dain |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 26th, 2017 |
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 | 1760994008 | NPPES |
Other | 2176180 | PK |
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