Giant Pharmacy #235

LBN: Giant Of Maryland Llc
Giant Pharmacy #235 is an health care organization with primary practice located at 5701 Plank Rd , Fredericksburg VA 22407-6227. 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 (781) 380-5611, or through Dayton, Brad via phone (617) 770-8732.

Contact Information

Primary practice address
5701 Plank Rd Fredericksburg VA 22407-6227
Phone: (781) 380-5611
Fax: (781) 380-5617
Website:
Map and Directions
Authorized official contact:
Name: Dayton, Brad
Phone: (617) 770-8732

Health care specialties

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

Profile Details

NPI number 1316137516
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy #235
Authorized official Dayton, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Oct 13th, 2011 - 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 1316137516 NPPES
Virginia MEDICAID 1316137516
Virginia Other 4840319

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