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Organization

FOOD LION, LLC

Active
Other names
Food Lion Pharmacy #2173
Organization subpart
No

Provider details

NPI number
Authorized official
ELWEN EATON (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization

Contact information

Practice address
6719 BELLS FERRY ROAD, WOODSTOCK, GA 30189
(770) 516-8649
(770) 516-9824
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028

Taxonomy

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

Other

Enumeration date
09/03/2010
Last updated
05/24/2017
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