Organization
PUBLIX ALABAMA LLC
Active
Other names
Publix Pharmacy #1476
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
128 E GRAND AVE, RAINBOW CITY, AL 35906-6252
(386) 688-1188
(256) 399-0985
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114532
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185317
—
AL
01
—
2154722
PK
—
Enumeration date
10/13/2015
Last updated
05/06/2026
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