HANNAFORD BROS CO LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

HANNAFORD BROS CO LLC

797 ROOSEVELT TRAIL WINDHAM MALL
NORTH WINDHAM, ME 04062

Phone: 207-892-8571
Fax: 207-892-6297
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for HANNAFORD BROS CO LLC

NPI # 1558479949

LBN Legal business name HANNAFORD BROS CO LLC

Authorized official MICHAEL VAIL - (PRESIDENT AND MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/27/2006

Last updated 04/20/2018 - About 8 years ago

Identifiers

ME	License #	PH50000794
ME	Medicaid	999101064
	Other	2036818	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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