Publix Pharmacy #1163
LBN: Publix Tennessee Llc
Publix Pharmacy #1163 is an health care organization with primary practice located at 1731 S Rutherford Blvd , Murfreesboro TN 37130-5957. 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 (615) 849-4295, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
1731 S Rutherford Blvd
Murfreesboro TN 37130-5957
Phone: (615) 849-4295
Fax: (615) 849-4360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 4383 | Tennessee |
Profile Details
NPI number | 1467591214 |
---|---|
LBN Legal business name | Publix Tennessee Llc |
DBA Doing business as | Publix Pharmacy #1163 |
Authorized official | Rusk, Dain |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 6th, 2007 |
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 | 1467591214 | NPPES |
Other | 2095164 | PK | |
MEDICAID | Q036170 | PK |
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