Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1250
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2955 ATLANTA RD SE, SMYRNA, GA 30080-3651
(770) 319-1127
(678) 809-2922
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
PHRE010322
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183462A
—
GA
01
—
2166159
PK
—
Enumeration date
10/14/2016
Last updated
04/24/2026
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