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Organization

PUBLIX NORTH CAROLINA LP

Active
Other names
Publix Pharmacy #1474
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization

Contact information

Practice address
8315 MAGNOLIA ESTATES DR, CORNELIUS, NC 28031-7837
(704) 895-7062
(704) 237-3940
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
12164
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2149315
PK
Enumeration date
12/10/2014
Last updated
04/20/2026
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