# PUBLIX SUPER MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PUBLIX PHARMACY \#0466
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851331276
- **Authorized official:** FRED OTTOLINO RPH (VP OF PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 207 RUSSELL PKWY, WARNER ROBINS, GA 31088-3251
- **Practice address phone:** (478) 329-5046
- **Practice address fax:** (478) 329-9789
- **Mailing address:** 207 RUSSELL PKWY, WARNER ROBINS, GA 31088-3251
- **Mailing address phone:** (478) 329-5046
- **Mailing address fax:** (478) 329-9789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE007694 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 04/11/2008