Publix Pharmacy #1572
LBN: Publix Super Markets Inc
Publix Pharmacy #1572 is an health care organization with primary practice located at 5580 Woodbine Rd , Pace FL 32571-8766. 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 (850) 889-7028, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
5580 Woodbine Rd
Pace FL 32571-8766
Phone: (850) 889-7028
Fax: (850) 304-0064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PH30980 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1962936476 |
|---|---|
| LBN Legal business name | Publix Super Markets Inc |
| DBA Doing business as | Publix Pharmacy #1572 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2017 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962936476 | NPPES |
| Other | 2171523 | PK | |
| MEDICAID | 022709501 | PK | |
| MEDICAID | 022709500 | PK |
Popular Providers
-
Holiday Cvs Llc
4727 Highway 90 , Pace FL 32571-1403 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Professional Pharmacy Resources
4854 Woodbine Rd Unit 5 , Pace FL 32571-8709 -
Burklow Pharmacy Inc
4880 Woodbine Rd , Pace FL 32571-8762 -
Walgreen Co
3909 Highway 90 , Pace FL 32571-1915 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Wal-Mart Stores East Lp
4965 Highway 90 , Pace FL 32571-1408 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907