Organization
FOOD LION LLC
Active
Other names
FOOD LION PHARMACY #1654
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M HAM (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
7440 LOUISBURG RD, RALEIGH, NC 27616-6482
(919) 875-1488
(919) 875-1978
Mailing address
PO BOX 1000, MAILSORT 3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920150
—
NC
01
—
3437755
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
05/10/2017
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