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Organization

PUBLIX ALABAMA LLC

Active
Other names
Publix Pharmacy #1508
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
2200 VILLAGE DR, MOODY, AL 35004-3241
(205) 640-3237
(205) 352-2203
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
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
114555
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181520
AL
05
192386
AL
01
2155264
PK
Enumeration date
10/09/2015
Last updated
05/06/2026
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