Organization · NPI-2
Publix Super Markets INC
Pharmacy, Community/Retail Pharmacy · Lilburn, GA
NPI number1215977988
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1215977988
- Entity type
- Organization (NPI-2)
- Legal business name
- Publix Super Markets INC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2006
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHRE008771 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Publix Pharmacy #0074 (Doing Business As)
Practice location
375 Rockbridge Rd NwLilburn, GA 30047-8225
Phone 770-806-4045 · Fax 770-806-4050
Mailing address
Po Box 639680Cincinnati, OH 45263-9680
Phone 863-688-1188 · Fax 863-616-5846
Authorized official
Catherine E Scanlon
Vp Of Pharmacy
8636881188
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