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Organization

MARTINS FOODS OF SOUTH BURLINGTON LLC

Active
Other names
Hannaford Supermarket & Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL VAIL (PRESIDENT)
(207) 885-2911
Entity
Organization

Contact information

Practice address
290 HIGHGATE COMMONS RD, SAINT ALBANS, VT 05478
(802) 524-2217
(802) 524-3273
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(704) 645-6531

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
380003286
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006187
VT
01
2101625
PK
Enumeration date
08/27/2006
Last updated
01/30/2023
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