Publix Pharmacy #0774

LBN: Publix Super Markets Inc
Publix Pharmacy #0774 is an health care organization with primary practice located at 2633 N Dixie Hwy , Wilton Manors FL 33334-3724. The organization recently has 2 registered licenses in different health care specialties including 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 (954) 561-4337, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
2633 N Dixie Hwy Wilton Manors FL 33334-3724
Phone: (954) 561-4337
Fax: (954) 840-8271
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Dain
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26755 Florida

Profile Details

NPI number 1174861181
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0774
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2013
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 1174861181 NPPES
Other 2138775 PK
MEDICAID 008493400 PK

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