# PUBLIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154719078
- **Authorized official:** DR. ALLISON MANLULU MEGANO PHARMD (PHARMACIST)
- **Authorized official phone:** (561) 866-7248

## Contact information

- **Practice address:** 27615 US HIGHWAY 27, LEESBURG, FL 34748-9396
- **Practice address phone:** (352) 787-2122
- **Mailing address:** 8657 VISTA DEL BOCA DR, BOCA RATON, FL 33433-2528
- **Mailing address phone:** (561) 866-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | PS52607 | FL | Yes |

## Other

- **Enumeration date:** 12/30/2014
- **Last updated:** 12/30/2014