Publix Pharmacy #0545

LBN: Publix Super Markets Inc
Publix Pharmacy #0545 is an health care organization with primary practice located at 11155 Tara Blvd , Hampton GA 30228-1672. 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 (770) 473-6886, or through Rusch, Jacqueline via phone (863) 688-1188.

Contact Information

Primary practice address
11155 Tara Blvd Hampton GA 30228-1672
Phone: (770) 473-6886
Fax: (770) 473-4716
Website:
Map and Directions
Authorized official contact:
Name: Rusch, Jacqueline
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007931 Georgia

Profile Details

NPI number 1225078645
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #0545
Authorized official Rusch, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 4th, 2015 - about 11 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 1225078645 NPPES
Georgia MEDICAID 00685748A
Georgia Other 2019234

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