Organization
FOOD LION, LLC
Active
Other names
Food Lion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
107 PRINCE ST, AMERICUS, GA 31709-3643
(229) 931-6312
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164855
NCPDP
—
05
—
1366745770
—
VA
Enumeration date
03/17/2014
Last updated
05/10/2017
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