Organization
PUBLIX ALABAMA LLC
Active
Other names
Publix Pharmacy #1512
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
230 20TH ST S, BIRMINGHAM, AL 35233-2022
(205) 250-7173
(205) 383-4189
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
114680
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194693
—
AL
01
—
2166859
PK
—
Enumeration date
08/12/2016
Last updated
05/06/2026
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