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Contact Information

PUBLIX SUPER MARKETS INC
24420 SR 44
EUSTIS, FL32736
 Phone: 352-357-2008
 Fax: 352-502-4206
 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 # 1568831964
LBN Legal business name PUBLIX SUPER MARKETS INC
Authorized official DAIN RUSK - (VP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2015
Last updated 08/20/2020 - About 6 years ago
Identifiers
FL License # PH29364
FL Medicaid 015887700
FL Medicaid 015887701
Other 2154314 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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