Publix Pharmacy #1166
LBN: Publix Tennessee Llc
Publix Pharmacy #1166 is an health care organization with primary practice located at 5928 Hixson Pike Ste 112, Hixson TN 37343-4838. 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 Tennessee Llc can be contacted via phone (423) 847-8466, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
5928 Hixson Pike Ste 112
Hixson TN 37343-4838
Phone: (423) 847-8466
Fax: (423) 847-8471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4538 | Tennessee |
Profile Details
| NPI number | 1043468242 |
|---|---|
| LBN Legal business name | Publix Tennessee Llc |
| DBA Doing business as | Publix Pharmacy #1166 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Jan 3rd, 2020 - about 4 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 | 1043468242 | NPPES |
| Tennessee | MEDICAID | Q036166 | |
| Tennessee | Other | 2117123 |
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