# PUBLIX SUPER MARKETS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Publix Pharmacy 1717
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437769494
- **Authorized official:** CATHERINE E SCANLON (VP OF PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 1400 W GEORGIA RD, SIMPSONVILLE, SC 29680-6305
- **Practice address phone:** (864) 757-7099
- **Practice address fax:** (864) 501-0907
- **Mailing address:** PO BOX 639680, CINCINNATI, OH 45263-9680

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 07/07/2026