Organization
VICTORY DISTRIBUTORS, INC.
Active
Other names
Hannaford Food & Drug #5
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
8 MERCHANTS WAY, MIDDLEBORO, MA 02346-1818
(508) 923-2989
(508) 923-6345
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
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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