Organization
FOOD LION, LLC
Active
Other names
Food Lion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
12420 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 580-8211
(703) 580-5111
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835988
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8501157
—
VA
Enumeration date
09/30/2006
Last updated
05/10/2017
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