MEDICARE: PUBLIX ALABAMA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1265294474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIX ALABAMA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 639680
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 GULF SHORES PKWY STE 2
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-3438
Country	:	US
Telephone Number	:	863-688-1188
Fax Number	:	251-517-3164

Authorized Official
Title or Position	:	VP OF PHARMACY
Name	:	CATHERINE E SCANLON
Credential	:
Telephone Number	:	863-688-1188

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	05/06/2026

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Directions to “PUBLIX ALABAMA, LLC ” Practice Location

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