Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0473
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
45 PEMBROKE DR, HILTON HEAD ISLAND, SC 29926-2262
(843) 689-2276
(843) 895-2151
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090650
PK
—
05
—
730147
—
SC
Enumeration date
06/07/2006
Last updated
06/25/2026
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