Organization
PUBLIX TENNESSEE LLC
Active
Organization
PUBLIX TENNESSEE LLC
Active
Other names
Publix Pharmacy #1166
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
5928 HIXSON PIKE, STE 112, HIXSON, TN 37343-4838
(423) 847-8466
(423) 847-8471
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117123
PK
—
05
—
Q036166
—
TN
Enumeration date
09/03/2008
Last updated
06/29/2026
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