Organization
FOOD LION LLC
Active
Other names
Food Lion Pharmacy #2620
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
1013 VIRGINIA AVE, CLARKSVILLE, VA 23927
(434) 374-5620
(434) 374-5787
Mailing address
PO BOX 1000, MS 3000, 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
05
—
010137993
—
VA
01
—
4838376
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/02/2006
Last updated
05/11/2017
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