Organization
FOOD LION LLC
Active
Other names
Food Lion Pharmacy #2563
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
5179 CLINTON RD, STEDMAN, NC 28391-9516
(910) 483-9382
(910) 483-9380
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
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10942
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266485
—
NC
01
—
3458482
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/25/2011
Last updated
05/10/2017
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