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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 AND MANAGER)
(207) 885-7454
Entity
Organization

Contact information

Practice address
318 S MAIN ST, RUTLAND, VT 05701-4907
(802) 775-5858
(802) 775-9763
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
0380003282
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006082
VT
01
2101618
PK
Enumeration date
08/27/2006
Last updated
09/19/2025
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