Organization
PUBLIX NORTH CAROLINA LP
Active
Other names
Publix Pharmacy #1442
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
11222 PROVIDENCE RD W, CHARLOTTE, NC 28277-1535
(704) 716-2349
(704) 612-2014
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
11816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143899
PK
—
05
—
A
—
NC
Enumeration date
01/17/2014
Last updated
04/20/2026
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