Organization
FOOD LION LLC
Active
Other names
Food Lion Pharmacy #1656
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
43090 PEACOCK MARKET PLZ, SOUTH RIDING, VA 20152-4458
(703) 327-9666
(703) 327-2955
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835798
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8503133
—
VA
Enumeration date
09/30/2006
Last updated
05/10/2017
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