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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
3 VIA ROSSI WAY, BALLSTON SPA, NY 12020
(518) 885-2562
(518) 885-2827
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5829570
NCPDP
Enumeration date
10/21/2019
Last updated
11/11/2019
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