Publix Pharmacy #1057

LBN: Publix Tennessee Llc
Publix Pharmacy #1057 is an health care organization with primary practice located at 10638 Concord Rd , Brentwood TN 37027-8875. 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) 941-8879, or through Rusk, Dain via phone (863) 688-1188.

Contact Information

Primary practice address
10638 Concord Rd Brentwood TN 37027-8875
Fax: (615) 941-8884
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 4246 Tennessee

Profile Details

NPI number 1912947862
LBN Legal business name Publix Tennessee Llc
DBA Doing business as Publix Pharmacy #1057
Authorized official Rusk, Dain
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 3rd, 2020 - 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 1912947862 NPPES
Other 2094880 PK

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