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Victory Distributors, LLC

Durable Medical Equipment & Medical Supplies in Manchester, NH. Organization (NPI-2).

NPI number1619100740
StatusActive
Last updated in NPPESNov 18, 2014

Details

NPI
1619100740
Entity type
Organization (NPI-2)
Legal business name
Victory Distributors, LLC
Organization subpart
No
Enumeration date
Aug 24, 2009
Last updated
Nov 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies0337-PNHYes

Other names

  • Hannaford Food & Drug #8178 (Doing Business As)

Practice location

859 Hanover St
Manchester, NH 03104-5419

Phone 603-627-4354 · Fax 603-626-5060

Mailing address

Po Box 1000
Ms3000
Portland, ME 04104-5005

Phone 207-885-7454 · Fax 207-885-3121

Authorized official

Elwen Eaton
Pharmacy Insurance Specialist
2078857454

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