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Organization
VICTORY DISTRIBUTORS, LLC
Active
Organization
VICTORY DISTRIBUTORS, LLC
Active
Other names
Hannaford Food & Drug #8383
Organization subpart
No
Provider details
NPI number
Authorized official
ELWEN EATON (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
255 JOSEPH E. WARNER BLVD, TAUNTON, MA 02780
(580) 824-1057
(508) 822-0140
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3439
MA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/31/2009
Last updated
01/27/2014
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