Giant Pharmacy #790

LBN: Giant Of Maryland Llc
Giant Pharmacy #790 is an health care organization with primary practice located at 5581 Merchants View Square , Haymarket VA 20169. 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 (571) 248-4551, or through Stone, Robert via phone (617) 770-6257.

Contact Information

Primary practice address
5581 Merchants View Square Haymarket VA 20169
Phone: (571) 248-4551
Fax: (571) 248-4555
Website:
Map and Directions
Authorized official contact:
Name: Stone, Robert
Phone: (617) 770-6257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0201004106 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004106 Virginia

Profile Details

NPI number 1013026640
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy #790
Authorized official Stone, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013026640 NPPES
Virginia Other 4839467 NCPDP
Virginia MEDICAID 010328471 NCPDP

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