Publix Pharmacy #1119

LBN: Publix Super Markets Inc
Publix Pharmacy #1119 is an health care organization with primary practice located at 2020 Howell Mill Rd Nw Ste A , Atlanta GA 30318-1732. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Publix Super Markets Inc can be contacted via phone (404) 603-8840, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
2020 Howell Mill Rd Nw Ste A Atlanta GA 30318-1732
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010086 Georgia

Profile Details

NPI number 1336543461
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1119
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2014
Last updated Nov 20th, 2019 - 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.

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All States NPI 1336543461 NPPES
Other 2148398 PK
MEDICAID 003155660A PK

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