Organization
HANNAFORD BROS CO LLC
Active
Other names
HANNAFORD FOOD AND DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAIL (PRESIDENT AND MANAGER)
(207) 885-7454
Entity
Organization
Contact information
Practice address
50 COTTAGE RD, SOUTH PORTLAND, ME 04106-3606
(207) 799-4023
(207) 799-4642
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(704) 645-6531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50000974
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037202
PK
—
05
—
999010702
—
ME
Enumeration date
08/28/2006
Last updated
09/19/2025
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