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
1	333600000X	Pharmacy	0201003536	VA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4833225	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1770676140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOD LION LLC

Provider Business Mailing Address
First Line	:	PO BOX 1000 MSC 3000
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04104-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 S PLEASANT VALLEY RD
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-7001
Country	:	US
Telephone Number	:	540-723-6932
Fax Number	:	540-545-7995

Authorized Official
Title or Position	:	THIRD PARTY MANAGER
Name	:	STACIE CURRAN
Credential	:
Telephone Number	:	207-885-3161

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	09/11/2025

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Directions to “FOOD LION LLC ” Practice Location

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