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Organization

MARTIN'S FOODS OF SOUTH BURLINGTON, LLC

Active
Other names
Hannaford Supermarket & Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL VAIL (PRESIDENT AND MANAGER)
(207) 885-7454
Entity
Organization

Contact information

Practice address
935 SHELBURNE RD STE 300, SOUTH BURLINGTON, VT 05403-6992
(802) 863-1842
(802) 864-6409
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006677
VT
01
2101342
PK
05
6677
VT
Enumeration date
08/28/2006
Last updated
09/19/2025
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