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Organization
PUBLIX SUPER MARKETS, INC.
Active
Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #2090
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
162 SEVEN FARMS DR STE 100, DANIEL ISLAND, SC 29492-8024
(843) 972-6082
(843) 984-0387
Mailing address
PO BOX 407, LAKELAND, FL 33802-0407
(863) 688-1188
(863) 616-5810
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
06/12/2025
Last updated
07/08/2026
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