Giant Pharmacy 786

LBN: Giant Of Maryland Llc
Giant Pharmacy 786 is an health care organization with primary practice located at 220 Zan Rd , Charlottesville VA 22901-2859. 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 (434) 973-0776, or through Stone, Bob via phone (617) 770-6257.

Contact Information

Primary practice address
220 Zan Rd Charlottesville VA 22901-2859
Fax: (804) 974-7521
Website:
Authorized official contact:
Name: Stone, Bob

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0201003053 Virginia
Suppliers / Pharmacy 333600000X 0201003053 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003053 Virginia

Profile Details

NPI number 1386677623
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 786
Authorized official Stone, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated May 28th, 2009 - about 15 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 1386677623 NPPES
Virginia MEDICAID 008515735
Virginia Other 4820482

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