Organization
PUBLIX NORTH CAROLINA LP
Active
Other names
Publix Pharmacy #1592
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
13700 HULL STREET RD, MIDLOTHIAN, VA 23112-2000
(804) 727-3521
(804) 212-2817
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
0201004815
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336660240
—
VA
01
—
2171893
PK
—
Enumeration date
06/30/2017
Last updated
04/20/2026
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