Publix Pharmacy #1220

LBN: Publix Tennessee Llc
Publix Pharmacy #1220 is an health care organization with primary practice located at 11207 Lebanon Rd , Mt Juliet TN 37122-5545. 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 Tennessee Llc can be contacted via phone (615) 758-9830, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
11207 Lebanon Rd Mt Juliet TN 37122-5545
Fax: (615) 583-4530
Website:
Authorized official contact:
Name: Rusk, Dain

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4558 Tennessee

Profile Details

NPI number 1194974758
LBN Legal business name Publix Tennessee Llc
DBA Doing business as Publix Pharmacy #1220
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2008
Last updated Feb 28th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194974758 NPPES
Other 2117095 PK

Popular Providers