Giant Pharmacy #6305

LBN: Giant Food Stores Llc
Giant Pharmacy #6305 is an health care organization with primary practice located at 16001606 Nay Aug Avenue , Scranton PA 18509. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Giant Food Stores Llc can be contacted via phone (570) 343-7940, or through Shirley, Leigh via phone (717) 240-1506.

Contact Information

Primary practice address
16001606 Nay Aug Avenue Scranton PA 18509
Fax: (570) 343-8827
Website:
Authorized official contact:
Name: Shirley, Leigh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP415786L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1083646004
LBN Legal business name Giant Food Stores Llc
DBA Doing business as Giant Pharmacy #6305
Authorized official Shirley, Leigh
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Feb 10th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083646004 NPPES
Pennsylvania MEDICAID 1007302990167
Pennsylvania Other 3979044

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