Organization
PUBLIX ALABAMA LLC
Active
Other names
Publix Pharmacy #0045
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1605 BELTLINE RD SW, DECATUR, AL 35601-5591
(256) 301-6411
(256) 301-5593
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
112465
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003553
—
AL
01
—
1995317
PK
—
Enumeration date
06/05/2006
Last updated
05/06/2026
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