Giant Pharmacy 767
LBN: Giant Of Maryland Llc
Giant Pharmacy 767 is an health care organization with primary practice located at 10653 Braddock Rd , Fairfax VA 22032-2202. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Giant Of Maryland Llc can be contacted via phone (703) 591-0020, or through Dayton, Brad via phone (617) 770-8782.
Contact Information
Primary practice address
10653 Braddock Rd
Fairfax VA 22032-2202
Phone: (703) 591-0020
Fax: (703) 385-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0201003039 | Virginia |
| Suppliers / Pharmacy | 333600000X | 0201003039 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201003039 | Virginia |
Profile Details
| NPI number | 1023041365 |
|---|---|
| LBN Legal business name | Giant Of Maryland Llc |
| DBA Doing business as | Giant Pharmacy 767 |
| Authorized official | Dayton, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Oct 28th, 2011 - about 13 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 | 1023041365 | NPPES |
| Other | 4814201 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 008511233 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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