Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1510
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2170 OAKHEART RD, MYRTLE BEACH, SC 29579-1253
(843) 903-4615
(843) 492-5492
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
16386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157513
PK
—
05
—
716386
—
SC
05
—
DE3710
—
SC
Enumeration date
01/13/2016
Last updated
07/07/2026
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