Organization
PUBLIX NORTH CAROLINA LP
Active
Other names
Publix Pharmacy #1594
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3007 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2445
(804) 451-2072
(804) 835-6993
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316470974
—
FL
01
—
2171030
PK
—
Enumeration date
04/10/2017
Last updated
04/20/2026
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