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Organization
PUBLIX ALABAMA LLC
Active
Organization
PUBLIX ALABAMA LLC
Active
Other names
Publix Pharmacy #1369
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3525 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36303-5933
(334) 792-4812
(334) 792-4628
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113688
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129169
—
AL
01
—
2130357
PK
—
Enumeration date
05/16/2011
Last updated
05/06/2026
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