Organization
PUBLIX SUPER MARKETS INC
Active
Other names
PUBLIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH POPE (CONTRACT ADMINISTRATOR)
(863) 688-1188
Entity
Organization
Contact information
Practice address
19490 CORTEZ BLVD, BROOKSVILLE, FL 34601-3163
(352) 796-2927
(352) 796-2967
Mailing address
19490 CORTEZ BLVD, BROOKSVILLE, FL 34601-3163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0016967
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1087659
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/06/2006
Last updated
09/11/2025
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