Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #3214
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
10920 MCKINLEY DR STE 11.1114, TAMPA, FL 33612-6471
(863) 688-1188
Mailing address
PO BOX 407, LAKELAND, FL 33802-0407
(863) 688-1188
(863) 616-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PH29414
FL
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015994800
—
FL
05
—
015994801
—
FL
01
—
2154386
PK
—
Enumeration date
09/23/2015
Last updated
07/21/2026
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