| NPI | 1104133701 |
|---|---|
| Doing Business As | FOOD LION PHARMACY #2173 |
| Entity Type | Organization |
| Authorized Contact | ELWEN EATON Pharmacy Insurance Specialist 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2017-05-24 |