Giant Pharmacy 744

LBN: Giant Of Maryland Llc
Giant Pharmacy 744 is an health care organization with primary practice located at 5740 Union Mill Rd , Clifton VA 20124-1088. 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 Of Maryland Llc can be contacted via phone (703) 818-0589, or through Stone, Bob via phone (781) 380-5609.

Contact Information

Primary practice address
5740 Union Mill Rd Clifton VA 20124-1088
Phone: (703) 818-0589
Fax: (703) 818-2707
Website:
Map and Directions
Authorized official contact:
Name: Stone, Bob
Phone: (781) 380-5609

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201003063 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285667527
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 744
Authorized official Stone, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 1st, 2009 - about 16 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 1285667527 NPPES
Virginia MEDICAID 008543551
Virginia Other 4825824

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