Organization
MARTIN'S FOODS OF SOUTH BURLINGTON, LLC
Active
Other names
Hannaford Supermarket & Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAIL (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
808 WEST CHESTNUT STREET, ROME, NY 13440
(315) 336-0305
(315) 336-0254
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
05/20/2020
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