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Publix Super Markets Inc
Community/Retail Pharmacy in Fayetteville, Georgia
NPI 1083654552

Publix Super Markets Inc is a Community/Retail Pharmacy based in Cincinnati, GA and is specialized in Community/Retail Pharmacy. Publix Super Markets Inc practices in Fayetteville, GA. The NPI Number for Publix Super Markets Inc is 1083654552 and holds a License No. (Georgia).

The current practice location address for Publix Super Markets Inc is 108 Pavilion Pkwy, Fayetteville, GA and can be reached out via phone at 770-460-4106 and via fax at 770-716-0674.

Location: 108 Pavilion Pkwy, Fayetteville, GA, 45263-9680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083654552
Provider Name
Publix Super Markets Inc
Credential
Provider Entity Type
Organization
Address
108 Pavilion Pkwy, Fayetteville, GA, 45263-9680
Phone Number
770-460-4106
Fax Number
770-716-0674
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019562 01 PK
00717967A 05 GA
institution
Provider Business Practice Location Address Details
Address
108 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4056
Phone Number
770-460-4106
Fax Number
770-716-0674
person
Provider Business Mailing Address Details
Address
108 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4056
Phone Number
770-460-4106
Fax Number
770-716-0674
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHRE008019 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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