Publix Pharmacy #1363
LBN: Publix Super Markets Inc
Publix Pharmacy #1363 is an health care organization with primary practice located at 104 Town Blvd Ne Suite A100, Brookhaven GA 30319-3146. 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 Super Markets Inc can be contacted via phone (404) 233-7480, or through Rusk, Dain via phone (863) 688-1188.
Contact Information
Primary practice address
104 Town Blvd Ne Suite A100
Brookhaven GA 30319-3146
Phone: (404) 233-7480
Fax: (404) 233-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009741 | Georgia |
Profile Details
| NPI number | 1417247701 |
|---|---|
| LBN Legal business name | Publix Super Markets Inc |
| DBA Doing business as | Publix Pharmacy #1363 |
| Authorized official | Rusk, Dain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2011 |
| Last updated | Nov 18th, 2019 - about 7 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 | 1417247701 | NPPES |
| Other | 2129869 | PK | |
| MEDICAID | 003109824A | PK |
Popular Providers
-
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Walgreen Co
3964 Peachtree Rd Ne , Brookhaven GA 30319-3304 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Walgreen Co
2154 Johnson Ferry Rd Ne , Brookhaven GA 30319-2558 -
Walgreen Co
3925 Peachtree Rd Ne , Brookhaven GA 30319-5256 -
Georgia Cvs Pharmacy Llc
2910 Buford Hwy Ne , Brookhaven GA 30329-1802 -
The Kroger Co
3855 Buford Hwy Ne , Brookhaven GA 30329-1003 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528