Giant Pharmacy 745
LBN: Giant Of Maryland Llc
Giant Pharmacy 745 is an health care organization with primary practice located at 13043 Lee Jackson Memorial Hwy , Fairfax VA 22033-2001. 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) 968-9293, or through Dayton, Brad via phone (617) 770-8782.
Contact Information
Primary practice address
13043 Lee Jackson Memorial Hwy
Fairfax VA 22033-2001
Phone: (703) 968-9293
Fax: (703) 817-1409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0201003062 | Virginia |
| Suppliers / Pharmacy | 333600000X | 0201003062 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201003062 | Virginia |
Profile Details
| NPI number | 1194758441 |
|---|---|
| LBN Legal business name | Giant Of Maryland Llc |
| DBA Doing business as | Giant Pharmacy 745 |
| Authorized official | Dayton, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Oct 28th, 2011 - about 14 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 | 1194758441 | NPPES |
| Other | 4826826 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 008554412 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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