Publix Pharmacy #1399

LBN: Publix Super Markets Inc
Publix Pharmacy #1399 is an health care organization with primary practice located at 255 E Van Fleet Dr , Bartow FL 33830-3831. 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 (863) 534-1824, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
255 E Van Fleet Dr Bartow FL 33830-3831
Phone: (863) 534-1824
Fax: (863) 534-3151
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Dain
Phone: (863) 688-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH25651 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467735936
LBN Legal business name Publix Super Markets Inc
DBA Doing business as Publix Pharmacy #1399
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2011
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 1467735936 NPPES
Florida MEDICAID 004288900
Florida Other 2132242

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