Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 744
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY AND MANAGED CARE)
(781) 380-5609
Entity
Organization
Contact information
Practice address
5740 UNION MILL RD, CLIFTON, VA 20124-1088
(703) 818-0589
(703) 818-2707
Mailing address
5740 UNION MILL RD, CLIFTON, VA 20124-1088
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003063
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008543551
—
VA
01
—
4825824
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
07/01/2009
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