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NPI Code Detail

MEDICARE: FOOD LION, LLC

MEDICARE: FOOD LION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1609371921
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOD LION, LLC
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : PORTLAND
State : ME
Zip : 04104-5005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 683 S HUGHES BLVD
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-4530
Country : US
Telephone Number : 252-331-1306
Fax Number : 252-331-6319
Authorized Official
Title or Position : PRESIDENT
Name : MARGARET M HAM
Credential :
Telephone Number : 704-633-8250
Provider Enumeration Date : 03/28/2018
Last Update Date : 03/28/2018

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Directions to “FOOD LION, LLC ” Practice Location

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