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Organization

GIANT OF MARYLAND LLC

Active
Parent organization
AHOLD USA
Other names
GIANT PHARMACY 749
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHOLD USA
Authorized official
MR. RAYMOND MCCALL RPH (SVP OF HEALTH & HOUSEHOLD)
(717) 960-5666
Entity
Organization

Contact information

Practice address
7137 COLUMBIA PIKE, ANNANDALE, VA 22003-3146
(703) 256-2773
(703) 642-5626
Mailing address
1149 HARRISBURG PIKE, THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
(717) 960-8553

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003028
VA
333600000X
Pharmacy
0201003028
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003028
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008513686
VA
01
4817459
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/09/2006
Last updated
06/19/2017
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