# VICTORY DISTRIBUTORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hannaford Supermarket & Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164530549
- **Authorized official:** ELWEN EATON (PHARMACY INSURANCE SPECIALIST)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 10 WASHINGTON ST, NORWELL, MA 02061-1749
- **Practice address phone:** (781) 878-7063
- **Practice address fax:** (718) 878-0311
- **Mailing address:** PO BOX 1000, PORTLAND, ME 04104-5005
- **Mailing address phone:** (207) 885-7454
- **Mailing address fax:** (207) 885-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 3405 | MA | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 04/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0497959 | — | MA |
| 01 | — | 2039545 | PK | — |