Publix Pharmacy #0330

LBN: Publix Super Markets Inc
Publix Pharmacy #0330 is an health care organization with primary practice located at 4860 Davis Blvd , Naples FL 34104-5337. 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) 417-6630, or through Houston, Dale via phone (863) 688-1188.

Contact Information

Primary practice address
4860 Davis Blvd Naples FL 34104-5337
Phone: (239) 417-6630
Fax: (239) 417-6634
Website:
Map and Directions
Authorized official contact:
Name: Houston, Dale RPH
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH0020003 Florida

Profile Details

NPI number 1710926720
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0330
Authorized official Houston, Dale RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 11th, 2013 - about 11 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 1710926720 NPPES
Other 2007456 PK
MEDICAID 026977800 PK

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