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Organization

MARTINS FOODS OF SOUTH BURLINGTON LLC

Active
Other names
HANNAFORD FOOD AND DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL VAIL (PRESIDENT AND MANAGER)
(207) 885-7454
Entity
Organization

Contact information

Practice address
21A ESSEX WAY, ESSEX JUNCTION, VT 05452-3384
(802) 878-0119
(802) 872-9591
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(704) 645-6531

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
0380002482
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005580
VT
01
2101412
PK
05
5580
VT
Enumeration date
08/27/2006
Last updated
09/19/2025
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