Organization
FOOD LION, LLC
Active
Other names
Food Lion Pharmacy #2188
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
1655 BUFFALO LAKE ROAD, SANFORD, NC 27332
(919) 498-1962
(919) 498-2077
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
10998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535395
—
NC
01
—
3458533
NCPDP NUMBER
—
Enumeration date
03/07/2011
Last updated
05/10/2017
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