Organization
VICTORY DISTRIBUTORS, LLC
Active
Other names
Hannaford Food & Drug #8192
Organization subpart
No
Provider details
NPI number
Authorized official
ELWEN EATON (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
301 PLEASANT ST, DRACUT, MA 01826-4909
(978) 452-5255
(978) 459-8433
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2697
MA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
11/18/2014
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