# PUBLIX SUPER MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Publix Pharmacy \#1486
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194195925
- **Authorized official:** CATHERINE E SCANLON (VP OF PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 158 HIGHWAY 274, LAKE WYLIE, SC 29710-6045
- **Practice address phone:** (803) 831-5672
- **Practice address fax:** (803) 753-8398
- **Mailing address:** PO BOX 639680, CINCINNATI, OH 45263-9680
- **Mailing address phone:** (863) 688-1188
- **Mailing address fax:** (863) 616-5846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 16190 | SC | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154739 | PK | — |
| 05 | — | 716190 | — | SC |