Publix Pharmacy #0617

LBN: Publix Super Markets Inc
Publix Pharmacy #0617 is an health care organization with primary practice located at 2061 Experiment Station Rd , Watkinsville GA 30677-5328. 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 (706) 769-2086, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
2061 Experiment Station Rd Watkinsville GA 30677-5328
Phone: (706) 769-2086
Fax: (706) 769-7653
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 PHRE008159 Georgia

Profile Details

NPI number 1568402998
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0617
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 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 1568402998 NPPES
Georgia MEDICAID 00763606A
Georgia Other 2019890

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