Organization
HANNAFORD BROS CO 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
692 SABATTUS ST, LEWISTON, ME 04240-3832
(207) 786-0122
(207) 782-6091
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
PH50000352
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036204
PK
—
05
—
999101333
—
ME
Enumeration date
08/27/2006
Last updated
09/19/2025
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