Publix Pharmacy #0535
LBN: Publix Super Markets Inc
Publix Pharmacy #0535 is an health care organization with primary practice located at 5158 Memorial Dr , Stone Mountain GA 30083-3111. 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) 297-5016, or through Pope, Sarah via phone (863) 688-1188.
Contact Information
Primary practice address
5158 Memorial Dr
Stone Mountain GA 30083-3111
Phone: (770) 297-5016
Fax: (404) 297-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHRE007890 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1942240379 |
|---|---|
| LBN Legal business name | Publix Super Markets Inc |
| DBA Doing business as | Publix Pharmacy #0535 |
| Authorized official | Pope, Sarah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 2nd, 2007 - about 19 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 | 1942240379 | NPPES |
| Other | 1141807 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 00673296A | OTHER ID NUMBER-COMMERCIAL NUMBER |
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