Giant Pharmacy 128

LBN: Giant Of Maryland Llc
Giant Pharmacy 128 is an health care organization with primary practice located at 2145 York Rd , Lutherville MD 21093-3110. 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 (410) 252-4217, or through Dayton, Brad via phone (617) 770-8782.

Contact Information

Primary practice address
2145 York Rd Lutherville MD 21093-3110
Fax: (410) 252-5529
Website:
Authorized official contact:
Name: Dayton, Brad

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO0267 Maryland
Suppliers / Pharmacy 333600000X PO0267 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X PO0267 Maryland

Profile Details

NPI number 1891728143
LBN Legal business name Giant Of Maryland Llc
DBA Doing business as Giant Pharmacy 128
Authorized official Dayton, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Nov 17th, 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 1891728143 NPPES
Other 2101335 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 4169972 00 OTHER ID NUMBER-COMMERCIAL NUMBER

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