Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #0604
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
24600 S TAMIAMI TRL STE 300, BONITA SPRINGS, FL 34134-7023
(239) 498-6288
(239) 247-5763
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
PH26817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008335101
—
FL
05
—
008835100
—
FL
01
—
2140368
PK
—
Enumeration date
05/14/2013
Last updated
06/22/2026
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