Organization
FOOD LION LLC
Active
Other names
Food Lion Pharmacy #2181
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
7475 NC HWY 22, CARTHAGE, NC 28327
(910) 949-2071
(910) 949-2064
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10581
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635724
—
NC
01
—
3421207
NCPDP PROVIDER NUMBER
—
Enumeration date
08/23/2010
Last updated
05/10/2017
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