Organization · NPI-2

Publix Super Markets INC

Pharmacy, Community/Retail Pharmacy · Mableton, GA

NPI number1194658476
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1194658476
Entity type
Organization (NPI-2)
Legal business name
Publix Super Markets INC
Organization subpart
No
Enumeration date
Jun 5, 2026
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Publix Pharmacy #2132 (Doing Business As)

Practice location

5015 Floyd Rd Sw
Mableton, GA 30126-1673

Phone 770-970-2191 · Fax 678-293-9979

Mailing address

Po Box 407
Lakeland, FL 33802-0407

Phone 863-688-1188 · Fax 863-616-5810

Authorized official

Catherine E Scanlon
Vp Of Pharmacy
8636881188

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