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Organization

FOOD LION LLC

Active
Other names
FOOD LION PHARMACY #2650
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization

Contact information

Practice address
1460 S MAIN ST, CHINA GROVE, NC 28023-8646
(704) 855-1316
(704) 857-5028
Mailing address
PO BOX 1000, MAILSORT 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 885-3121

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
09111
NC
332BC3200X
Customized Equipment (DME)
3336C0003X
Community/Retail Pharmacy
Primary
09111
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0805763
NC
01
3403603
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/30/2006
Last updated
05/11/2017
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