Organization
FOOD LION LLC
Active
Other names
FOOD LION PHARMACY #2580
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BEDNARZ (DIRECTOR OF PHARMACY)
(704) 633-8250
Entity
Organization
Contact information
Practice address
301 E WASHINGTON ST, LA GRANGE, NC 28551-1834
(252) 566-9595
(252) 566-0336
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
(207) 885-3161
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
8222
NC
3336C0003X
Community/Retail Pharmacy
Primary
8222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545590
—
NC
01
—
3440485
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
08/08/2008
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