Publix Pharmacy #1367

LBN: Publix Super Markets Inc
Publix Pharmacy #1367 is an health care organization with primary practice located at 630 Atlantic Blvd , Neptune Beach FL 32266-4000. 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 (904) 249-1725, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
630 Atlantic Blvd Neptune Beach FL 32266-4000
Phone: (904) 249-1725
Fax: (904) 249-0292
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 PH0016223 Florida

Profile Details

NPI number 1790724649
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1367
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 1790724649 NPPES
Florida MEDICAID 002670700
Florida Other 2011654

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