Publix Pharmacy #0573

LBN: Publix Alabama Llc
Publix Pharmacy #0573 is an health care organization with primary practice located at 6707 Highway 431 S , Owens Cross Roads AL 35763-9204. 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 Alabama Llc can be contacted via phone (256) 512-5679, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
6707 Highway 431 S Owens Cross Roads AL 35763-9204
Fax: (256) 513-6290
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 113991 Alabama

Profile Details

NPI number 1811246812
LBN Legal business name Publix Alabama Llc
DBA Doing business as Publix Pharmacy #0573
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2012
Last updated Jan 3rd, 2020 - about 6 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 1811246812 NPPES
Other 2137207 PK
MEDICAID 145467 PK

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