Giant Pharmacy 764

LBN: Giant Of Maryland Llc
Giant Pharmacy 764 is an health care organization with primary practice located at 13905 Jefferson Davis Hwy , Woodbridge VA 22191-2010. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Giant Of Maryland Llc can be contacted via phone (703) 494-4150, or through Stone, Bob via phone (781) 380-5609.

Contact Information

Primary practice address
13905 Jefferson Davis Hwy Woodbridge VA 22191-2010
Phone: (703) 494-4150
Fax: (703) 494-4088
Website:
Map and Directions
Authorized official contact:
Name: Stone, Bob
Phone: (781) 380-5609

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201003031 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912930256
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 764
Authorized official Stone, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912930256 NPPES
Other 4820951 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers