Hannaford Supermarket & Pharmacy
LBN: Victory Distributors Llc
Hannaford Supermarket & Pharmacy is an health care organization with primary practice located at 55 Russell St , Waltham MA 02453-8517. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Victory Distributors Llc can be contacted via phone (781) 642-7416, or through Vail, Michael via phone (207) 885-7454.
Contact Information
Primary practice address
55 Russell St
Waltham MA 02453-8517
Phone: (781) 642-7416
Fax: (781) 642-7442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | DS3578 | Massachusetts |
Profile Details
| NPI number | 1568647527 |
|---|---|
| LBN Legal business name | Victory Distributors Llc |
| DBA Doing business as | Hannaford Supermarket & Pharmacy |
| Authorized official | Vail, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Jul 19th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568647527 | NPPES |
| Massachusetts | MEDICAID | 0416169 | |
| Massachusetts | Other | 2039747 |
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