Publix Pharmacy #1470
LBN: Publix North Carolina Lp
Publix Pharmacy #1470 is an health care organization with primary practice located at 6828 Matthews Mint Hill Rd , Mint Hill NC 28227-9324. 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) 573-0239, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
6828 Matthews Mint Hill Rd
Mint Hill NC 28227-9324
Phone: (704) 573-0239
Fax: (980) 201-8650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 12132 | North Carolina |
Profile Details
| NPI number | 1780080911 |
|---|---|
| LBN Legal business name | Publix North Carolina Lp |
| DBA Doing business as | Publix Pharmacy #1470 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2014 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780080911 | NPPES |
| Other | 2148886 | PK | |
| MEDICAID | 1780080911 | PK |
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