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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