OrganizationPublix Alabama Llc(Publix Pharmacy #0165)PharmacySuppliersPractice Address411 Green Springs Hwy, Homewood, AL 35209-4909(205) 944-1112(863) 688-1188PECOS EnrollmentBased on the most recent information from CMS, provider Publix Alabama Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1497795819Provider TypeOrganizationFull NamePublix Alabama LlcOther NamePublix Pharmacy #0165SubpartNoEnumeration Date6/7/2006Last Updated1/3/2020Contact InformationPractice LocationPractice Address411 Green Springs Hwy, Homewood, AL 35209-4909Phone(205) 944-1112Fax(205) 944-1117Mailing LocationMailing AddressPO Box 639680, Cincinnati, OH 45263-9680Phone(863) 688-1188Fax(863) 616-5846Authorized OfficialNameRusk, Dain (Vp Pharmacy)Phone(863) 688-1188Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense112386AlabamaCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID100003521DescriptionMedicaidIssuerUnlistedAlabamaID1995250DescriptionOtherIssuerPK