Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0765
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
5550 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338-4111
(770) 776-4351
(678) 534-7598
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PHRE010625
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177217
PK
—
Enumeration date
03/09/2018
Last updated
06/30/2026
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