Organization
FOOD LION LLC
Active
Other names
FOOD LION PHARMACY #1431
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
1605 BYPASS 72 NE, GREENWOOD, SC 29649-1606
(864) 943-0151
(864) 943-1719
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-3161
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50005098
SC
3336C0003X
Community/Retail Pharmacy
Primary
50005098
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4222927
NCPDP
SC
05
—
750987
—
SC
Enumeration date
09/30/2006
Last updated
05/10/2017
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