Organization
HANNAFORD BROS CO LLC
Active
Other names
Hannaford Supermarket & Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAIL (PRESIDENT AND MANAGER)
(207) 885-7454
Entity
Organization
Contact information
Practice address
65 PORTLAND RD, KENNEBUNK, ME 04043-6742
(207) 985-9177
(207) 985-9209
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
PH50001394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194860052
—
ME
01
—
2124709
PK
—
Enumeration date
04/19/2010
Last updated
09/19/2025
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