# MARTINS FOODS OF SOUTH BURLINGTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HANNAFORD FOOD AND DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487762860
- **Authorized official:** MICHAEL VAIL (PRESIDENT AND MANAGER)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 21A ESSEX WAY, ESSEX JUNCTION, VT 05452-3384
- **Practice address phone:** (802) 878-0119
- **Practice address fax:** (802) 872-9591
- **Mailing address:** PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
- **Mailing address phone:** (207) 885-7454
- **Mailing address fax:** (704) 645-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 0380002482 | VT | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005580 | — | VT |
| 01 | — | 2101412 | PK | — |
| 05 | — | 5580 | — | VT |