Organization
HANNAFORD BROS. CO., LLC
Active
Organization
HANNAFORD BROS. CO., LLC
Active
Other names
HANNAFORD FOOD AND DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAIL (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
40 MAIN AVE, GARDINER, ME 04345-2176
(207) 582-3771
(207) 582-4089
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
PH50001115
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037436
PK
—
05
—
999000977
—
ME
Enumeration date
08/27/2006
Last updated
03/23/2022
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