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Publix Super Markets Inc

Publix Super Markets Inc is a health care provider in Atlanta, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 24123 Peachland Blvd, Port Charlotte, FL 33954-3774, US
Practice Location Phone941-627-5704
Practice Location Fax941-625-1986
Legal Business NamePUBLIX SUPER MARKETS INC
Other Organization NamePUBLIX PHARMACY #1438
Other Organization Name TypeDoing Business As Name
NPI ?1538109970
Entity TypeOrganization
Enumeration Date ? Jun 7, 2006
Last Update Date ? Aug 3, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Publix Super Markets Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy PH0011501Florida

legacy-id-icon Legacy Provider IDs of Publix Super Markets Inc

Provider IdIssuer StateIssuer TypeIssuer
2010874OtherPK
109130100FloridaMedicaid

official-icon Authorized Official of Publix Super Markets Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Publix Super Markets Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jacqueline Rusch
Authorized Official Title/PositionMANAGER OF MANAGED CARE
Authorized Official Phone Number863-688-1188