Organization
FOOD LION, LLC
Active
Other names
Food Lion Pharmacy #2174
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
14807 MONETA ROAD, MONETA, VA 24121
(540) 297-0927
(540) 297-0956
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831411701
—
VA
01
—
4842034
NCPDP NUMBER
—
Enumeration date
02/19/2010
Last updated
05/10/2017
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