Giant Pharmacy 194

LBN: Giant Of Maryland Llc
Giant Pharmacy 194 is an health care organization with primary practice located at 2323 Forest Dr , Annapolis MD 21401-3833. 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 (410) 224-2850, or through Stone, Brad via phone (617) 770-8782.

Contact Information

Primary practice address
2323 Forest Dr Annapolis MD 21401-3833
Fax: (410) 571-1190
Website:
Authorized official contact:
Name: Stone, Brad

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO1380 Maryland
Suppliers / Pharmacy 333600000X PO1380 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X PO1380 Maryland

Profile Details

NPI number 1497788749
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 194
Authorized official Stone, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497788749 NPPES
Maryland MEDICAID 696904600
Maryland Other 2114976

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