Organization · NPI-2

Publix Super Markets INC

Pharmacy, Community/Retail Pharmacy · Mableton, GA

NPI number1447299490

StatusActive

Last updated in NPPESJul 1, 2026

Details

NPI: 1447299490
Entity type: Organization (NPI-2)
Legal business name: Publix Super Markets INC
Organization subpart: No
Enumeration date: Jun 5, 2006
Certification date: Jul 1, 2026
Last updated: Jul 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	PHRE008880	GA	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–

Other names

Publix Pharmacy #1112 (Doing Business As)

Practice location

1025 Veterans Memorial Hwy Se
Mableton, GA 30126-7707

Phone 678-398-3657 · Fax 678-398-3662

Mailing address

Po Box 639680
Cincinnati, OH 45263-9680

Phone 863-688-1188 · Fax 863-616-5846

Authorized official

Catherine E Scanlon
Vp Of Pharmacy
8636881188

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