Publix Pharmacy #1449

LBN: Publix Super Markets Inc
Publix Pharmacy #1449 is an health care organization with primary practice located at 3304 Bonita Beach Rd , Bonita Springs FL 34134-4174. 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 (239) 495-1700, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
3304 Bonita Beach Rd Bonita Springs FL 34134-4174
Phone: (239) 495-1700
Fax: (239) 495-7993
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Dain
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH0010601 Florida

Profile Details

NPI number 1619916525
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1449
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
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 1619916525 NPPES
Other 2009295 PK
MEDICAID 100453100 PK

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