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NPI Code Detail

MEDICARE: PUBLIX ALABAMA LLC

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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy113225AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22118226OTHERPK

General Provider Information

NPI Number : 1528203098
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 : 863-688-1188
Fax Number : 863-616-5846
Provider Business Practice Location Address
First Line : 1101 SOUTHVIEW LN
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-6389
Country : US
Telephone Number : 205-247-7715
Fax Number : 205-247-7720
Authorized Official
Title or Position : VP OF PHARMACY
Name : CATHERINE E SCANLON
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 12/11/2008
Last Update Date : 05/06/2026

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Directions to “PUBLIX ALABAMA LLC ” Practice Location

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