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VICTORY DISTRIBUTORS LLC NPI 1316950561


NPI Information

NPI: 1316950561
Provider Name: VICTORY DISTRIBUTORS LLC

Doing Business As: HANNAFORD FOOD AND DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
193 BOSTON POST RD W
RTE 20
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 229-0647
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VICTORY DISTRIBUTORS LLC is a community/retail pharmacy pharmacy in Marlborough, MA. The provider is 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. VICTORY DISTRIBUTORS LLC NPI is 1316950561. The provider is registered as an organization entity type.
The provider Is Doing Business As Hannaford Food And Drug.

The provider's business location address is:

193 BOSTON POST RD W
RTE 20
MARLBOROUGH, MA
ZIP 01752-840
Phone: (508) 229-0647
Fax: (508) 229-8207

The provider's authorized official is Michael Vail .
The authorized official title is President And Manager and has the following contact phone number (207) 885-7454.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyDS3477MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10422690MEDICAIDMASSACHUSETTS
22039588OTHERPK
30498491MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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