Publix Pharmacy #1395

LBN: Publix Super Markets Inc.
Publix Pharmacy #1395 is an health care organization with primary practice located at 135 Bradley Pl , Palm Beach FL 33480-3819. The organization recently has 2 registered licenses in different health care specialties including 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 (561) 832-1978, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
135 Bradley Pl Palm Beach FL 33480-3819
Fax: (561) 832-4807
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH25785 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457629396
LBN Legal business name Publix Super Markets Inc.
DBA Doing business as Publix Pharmacy #1395
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2011
Last updated Dec 3rd, 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 1457629396 NPPES
Other 2132947 PK
MEDICAID 004512300 PK

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