Organization
VICTORY DISTRIBUTORS, LLC
Active
Other names
Hannaford Supermarket & Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAIL (PRESIDENT)
(207) 885-2911
Entity
Organization
Contact information
Practice address
333 MASS AVE, LUNENBURG, MA 01462
(978) 582-7013
(978) 582-7446
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
2468
MA
3336C0003X
Community/Retail Pharmacy
Primary
2468
MA
Other
Enumeration date
08/24/2009
Last updated
07/04/2018
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