# PUBLIX SUPER MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Publix Pharmacy \#0824
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649210089
- **Authorized official:** CATHERINE E SCANLON (VP OF PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 8409 DORCHESTER RD STE 104, NORTH CHARLESTON, SC 29420-7324
- **Practice address phone:** (843) 767-5976
- **Practice address fax:** (843) 767-5979
- **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 | 50006389 | SC | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2092180 | PK | — |
| 05 | — | 763898 | — | SC |
| 05 | — | SC763898 | — | SC |