Giant Pharmacy #791
LBN: Giant Of Maryland Llc
Giant Pharmacy #791 is an health care organization with primary practice located at 43760 Greenway Corpoate Drive , Ashburn VA 20147. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Giant Of Maryland Llc can be contacted via phone (401) 238-3820, or through Dayton, Brad via phone (617) 770-8982.
Contact Information
Primary practice address
43760 Greenway Corpoate Drive
Ashburn VA 20147
Phone: (401) 238-3820
Fax: (401) 238-3057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 201004105 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201004105 | Virginia |
Profile Details
| NPI number | 1639267891 |
|---|---|
| LBN Legal business name | Giant Of Maryland Llc |
| DBA Doing business as | Giant Pharmacy #791 |
| Authorized official | Dayton, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 20th, 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 | 1639267891 | NPPES |
| Virginia | MEDICAID | 010324092 | |
| Virginia | Other | 4839467 |
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