# PUBLIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629440862
- **Authorized official:** MRS. KHADIJA F CALDWELL PHARMD (PHARMACIST)
- **Authorized official phone:** (334) 673-1215

## Contact information

- **Practice address:** 309 RIDGEWAY DR, ENTERPRISE, AL 36330-1636
- **Practice address phone:** (334) 803-4359
- **Mailing address:** 309 RIDGEWAY DR, ENTERPRISE, AL 36330-1636
- **Mailing address phone:** (334) 803-4359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113406 | AL | Yes |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 10/27/2015