Publix Pharmacy #1285

LBN: Publix Super Markets Inc
Publix Pharmacy #1285 is an health care organization with primary practice located at 1455 Sr 436, Unit 221 , Casselberry FL 32707. 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 / Pharmacy is the primary health care specialty. Publix Super Markets Inc can be contacted via phone (407) 673-0788, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
1455 Sr 436, Unit 221 Casselberry FL 32707
Fax: (407) 673-0987
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH24561 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013233402
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1285
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2010
Last updated Dec 6th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013233402 NPPES
Florida MEDICAID 002355100
Florida Other 2124618

Popular Providers