Publix Pharmacy #0604

LBN: Publix Super Markets Inc
Publix Pharmacy #0604 is an health care organization with primary practice located at 24600 S Tamiami Trl Ste 300 , Bonita Springs FL 34134-7023. 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 (239) 498-6288, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
24600 S Tamiami Trl Ste 300 Bonita Springs FL 34134-7023
Phone: (239) 498-6288
Fax: (239) 247-5763
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 PH26817 Florida

Profile Details

NPI number 1922444272
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0604
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2013
Last updated Nov 15th, 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 1922444272 NPPES
Florida MEDICAID 008335101
Florida MEDICAID 008835100
Florida Other 2140368

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