Giant Pharmacy 794

LBN: Giant Of Maryland Llc
Giant Pharmacy 794 is an health care organization with primary practice located at 21000 Southbank St Ste 150 , Sterling VA 20165-7242. 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 (703) 430-0400, or through Stone, Bob via phone (617) 770-6257.

Contact Information

Primary practice address
21000 Southbank St Ste 150 Sterling VA 20165-7242
Phone: (703) 430-0400
Fax: (703) 421-1190
Website:
Map and Directions
Authorized official contact:
Name: Stone, Bob
Phone: (617) 770-6257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0201003211 Virginia
Suppliers / Pharmacy 333600000X 0201003211 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003211 Virginia

Profile Details

NPI number 1821021171
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 794
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 1821021171 NPPES
Other 4828426 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 008504954 OTHER ID NUMBER-COMMERCIAL NUMBER

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