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Contact Information

HANNAFORD BROS CO LLC
756 ROUTE 1 SHOPPERS VILLAGE
YARMOUTH, ME04096
 Phone: 207-846-5251
 Fax: 207-846-2233
 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

NPI Profile & details for HANNAFORD BROS CO LLC

NPI Number 1659489045
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 05/31/2018 - About 8 years ago
Identifiers
ME License # PH50000293
ME Medicaid 10190729
Other 2036334 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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