Publix Pharmacy #0602

LBN: Publix Super Markets Inc
Publix Pharmacy #0602 is an health care organization with primary practice located at 235 S Pleasantburg Dr , Greenville SC 29607-2521. 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 (864) 250-4709, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
235 S Pleasantburg Dr Greenville SC 29607-2521
Phone: (864) 250-4709
Fax: (864) 250-4712
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 50004326 South Carolina

Profile Details

NPI number 1124069612
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0602
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124069612 NPPES
South Carolina MEDICAID 743267
South Carolina Other 2091533

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