Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1314
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE SCANLON (MANAGER OF MANAGED CARE)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3350 TAMIAMI TRL E, NAPLES, FL 34112-4912
(239) 530-0375
(239) 530-0497
Mailing address
PO BOX 116181, ATLANTA, GA 30368-6181
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH23832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001441300
—
FL
01
—
2119269
PK
—
Enumeration date
02/26/2009
Last updated
03/21/2014
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