Organization
FOOD LION, LLC
Active
Other names
FOOD LION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
12140 BERMUDA CROSSROAD LANE, CHESTER, VA 23831
(804) 706-6892
(804) 706-9207
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
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
—
008519447
—
VA
01
—
4837083
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/02/2006
Last updated
05/10/2017
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