License Verification

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Publix Super Markets, Inc. #0640

Publix Pharmacy #0640

License Number: PH17191

Data As Of 8/7/2025

Profession
Pharmacy
License
PH17191
License Status
Clear/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2027
License Original Issue Date
03/22/2000
Address of Record
200 37th Ave, N
SAINT PETERSBURG, FL 33704
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
PUBLIX SUPER MARKETS, INC. Pharmacy Corporate Entity Pharmacy Administrator Account 03/14/2012
WHIDDEN, RENDOL IV RX DPT MGR/COR/POR Pharmacist 55540 06/28/2025

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 8/7/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.