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Contact Information

PUBLIX SUPER MARKETS INC
3620 ATLANTA HWY
ATHENS, GA30606-7219
 Phone: 706-208-3706
 Fax: 706-316-1244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PUBLIX SUPER MARKETS INC

NPI # 1427097484
LBN Legal business name PUBLIX SUPER MARKETS INC
Authorized official DAIN RUSK - (VP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2006
Last updated 11/18/2019 - About 7 years ago
Identifiers
GA License # PHRE007664
GA Medicaid 00574087A
Other 2018657 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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