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Organization
PUBLIX SUPER MARKETS, INC
Active
Organization
PUBLIX SUPER MARKETS, INC
Active
Other names
Publix Pharmacy 1717
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1400 W GEORGIA RD, SIMPSONVILLE, SC 29680-6305
(864) 757-7099
(864) 501-0907
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/05/2020
Last updated
07/07/2026
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