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Organization

PUBLIX SUPER MARKETS INC

Active
Other names
Publix Pharmacy #1497
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
831 VILLAGE BLVD, WEST PALM BEACH, FL 33409-1901
(561) 615-6813
(561) 790-8385
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
PH29445
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016214400
FL
05
016214401
FL
01
2154741
PK
Enumeration date
10/14/2015
Last updated
06/18/2026
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