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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1821021171 | NPPES |
| Other | 4828426 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 008504954 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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