Organization
FOOD LION LLC
Active
Other names
Food Lion Pharmacy #1220
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
123 FORBES LOOP UNIT C, GRANDY, NC 27939-9625
(252) 453-8500
(252) 453-3051
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275081
—
NC
01
—
3409009
NCPDP
NC
Enumeration date
07/31/2007
Last updated
05/10/2017
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