Organization
PUBLIX NORTH CAROLINA LP
Active
Other names
Publix Pharmacy #1453
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
2222 SOUTH BLVD, CHARLOTTE, NC 28203-6581
(704) 373-2127
(980) 474-4118
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
12544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151040
PK
—
Enumeration date
02/23/2015
Last updated
04/20/2026
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