Organization
PUBLIX NORTH CAROLINA, LP
Active
Other names
Publix Pharmacy #1883
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
3189 GODWIN BLVD, SUFFOLK, VA 23434-8694
(757) 942-6033
(757) 942-2149
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
04/20/2026
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