Organization
PUBLIX SUPER MARKETS, INC.
Active
Other names
Publix Pharmacy #2108
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
16642 SR 64 E, BRADENTON, FL 34212
(941) 277-8277
(941) 357-4687
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
03/12/2026
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