Publix Pharmacy #1287

LBN: Publix Super Markets Inc
Publix Pharmacy #1287 is an health care organization with primary practice located at 17179 Tamiami Trl , North Port FL 34287-7291. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Publix Super Markets Inc can be contacted via phone (941) 426-8577, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
17179 Tamiami Trl North Port FL 34287-7291
Phone: (941) 426-8577
Fax: (941) 423-8656
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Dain
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH0011799 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1164461000
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1287
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 6th, 2019 - about 6 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 1164461000 NPPES
Other 2011071 PK
MEDICAID 101262200 PK

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