Publix Pharmacy #1313

LBN: Publix Super Markets, Inc.
Publix Pharmacy #1313 is an health care organization with primary practice located at 2381 W State Road 434 , Longwood FL 32779-4984. 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 (407) 862-5414, or through Ottolino, Fred via phone (863) 688-1188.

Contact Information

Primary practice address
2381 W State Road 434 Longwood FL 32779-4984
Phone: (407) 862-5414
Fax: (407) 862-5898
Website:
Map and Directions
Authorized official contact:
Name: Ottolino, Fred RPH
Phone: (863) 688-1188

Health care specialties

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

Profile Details

NPI number 1659523363
LBN Legal business name Publix Super Markets, Inc.
DBA Doing business as Publix Pharmacy #1313
Authorized official Ottolino, Fred RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2008
Last updated Apr 3rd, 2009 - about 16 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 1659523363 NPPES
Other 1038757 NCPDP
Other 000731801 NCPDP
MEDICAID 000731800 NCPDP

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