Publix Super Markets Inc in Jacksonville - Community/retail Pharmacy
Publix Super Markets Inc - NPI 1194765057
Publix Super Markets Inc is a Community/retail Pharmacy in Jacksonville, Florida. Publix Super Markets Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Publix Super Markets Inc is 1194765057. The last update date is 2019-11-21.
Publix Super Markets Inc's current location address is 13170 29 Atlantic Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042215765 and fax number 9042218370. The mailing address for Publix Super Markets Inc is 13170 29 Atlantic Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Publix Super Markets Inc |
|---|---|
| Address | 13170 29 Atlantic Blvd, Jacksonville, Florida |
| Phone Number | 9042215765 |
| Fax Number | 9042218370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Rusk Dain |
| Telephone Number | 8636881188 |
NPI Number Detail
| NPI Number | 1194765057 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
| Address | 13170 29 Atlantic Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32225 |
| Phone Number | 9042215765 |
| Fax Number | 9042218370 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PH0011354 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109055100 | FL | -- | |
| 2010514 | PK |
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What is the unique 10-digit identification code assigned to Publix Super Markets Inc by the Centers for Medicare & Medicaid Services?
The Publix Super Markets Inc has been issued the NPI (National Provider Identifier) 1194765057, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Publix Super Markets Inc located?
The Publix Super Markets Inc is located at 13170 29 Atlantic Blvd, Jacksonville, FL 32225.
What is the Publix Super Markets Inc's specialty and taxonomy code?
The Publix Super Markets Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date was the 1194765057 assigned to Publix Super Markets Inc?
The Publix Super Markets Inc was issued its 1194765057 on 2006-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Publix Super Markets Inc most recently updated or revised?
The details related to Publix Super Markets Inc, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-21.
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