Giant Pharmacy 111

LBN: Giant Of Maryland Llc
Giant Pharmacy 111 is an health care organization with primary practice located at 6480 Freetown Rd , Columbia MD 21044-4050. 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 (410) 531-1111, or through Stone, Bob via phone (617) 770-6257.

Contact Information

Primary practice address
6480 Freetown Rd Columbia MD 21044-4050
Phone: (410) 531-1111
Fax: (410) 531-3714
Website:
Map and Directions
Authorized official contact:
Name: Stone, Bob
Phone: (617) 770-6257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PO1708 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760415012
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 111
Authorized official Stone, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 1st, 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 1760415012 NPPES
Other 2118366 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 695503700 OTHER ID NUMBER-COMMERCIAL NUMBER

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