Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1148
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
400 E MCBEE AVE, STE 100, GREENVILLE, SC 29601-2940
(864) 240-2020
(864) 240-2024
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
9594
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093335
PK
—
05
—
795941
—
SC
Enumeration date
05/02/2007
Last updated
07/07/2026
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