Publix Pharmacy #0579
LBN: Publix Super Markets Inc
Publix Pharmacy #0579 is an health care organization with primary practice located at 108 Pavilion Pkwy , Fayetteville GA 30214-4056. 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 Super Markets Inc can be contacted via phone (770) 460-4106, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
108 Pavilion Pkwy
Fayetteville GA 30214-4056
Phone: (770) 460-4106
Fax: (770) 716-0674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE008019 | Georgia |
Profile Details
| NPI number | 1083654552 |
|---|---|
| LBN Legal business name | Publix Super Markets Inc |
| DBA Doing business as | Publix Pharmacy #0579 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2006 |
| 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 | 1083654552 | NPPES |
| Other | 2019562 | PK | |
| MEDICAID | 00717967A | PK |
Popular Providers
-
Southern Pain Institute P C
1975 Highway 54 W Ste 100 , Fayetteville GA 30214-4794 -
Walgreen Co
800 Glynn St N , Fayetteville GA 30214-7360 -
Georgia Cvs Pharmacy Llc
107 Pavilion Pkwy , Fayetteville GA 30214-4098 -
Georgia Cvs Pharmacy, L.L.C.
480 Glynn St N , Fayetteville GA 30214-1192 -
Nugen Pharmacy Llc
101 Yorktown Dr Ste 102 , Fayetteville GA 30214-1568 -
Walgreen Co
975 Highway 54 W , Fayetteville GA 30214-4500 -
Community Pharmacy, Inc.
575 Glynn St N , Fayetteville GA 30214-1198 -
Wal-Mart Stores East Lp
125 Pavilion Pkwy , Fayetteville GA 30214-4098