Organization
PUBLIX TENNESSEE LLC
Active
Other names
Publix Pharmacy #1047
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
4935 COLUMBIA PIKE, SPRING HILL, TN 37174-8617
(615) 302-4074
(615) 392-2012
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4224
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094869
PK
—
Enumeration date
06/05/2006
Last updated
02/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us