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Contact Information

PUBLIX SUPER MARKETS INC
1455 SR 436, UNIT 221
CASSELBERRY, FL32707
 Phone: 407-673-0788
 Fax: 407-673-0987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PUBLIX SUPER MARKETS INC

NPI # 1013233402
LBN Legal business name PUBLIX SUPER MARKETS INC
Authorized official DAIN RUSK - (VP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2010
Last updated 12/06/2019 - About 6 years ago
Identifiers
FL License # PH24561
FL Medicaid 002355100
Other 2124618 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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