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Organization

PUBLIX ALABAMA LLC

Active
Other names
Publix Pharmacy #1292
Organization subpart
No

Provider details

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

Contact information

Practice address
160 COTTON CREEK DR STE 100, GULF SHORES, AL 36542-2850
(251) 948-2781
(251) 200-4242
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
113371
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119733
AL
01
2124589
PK
Enumeration date
04/09/2010
Last updated
05/06/2026
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