Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 748
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
2901 11 SOUTH GLEBE ROAD, ARLINGTON, VA 22206
(703) 739-3714
(703) 837-3190
Mailing address
2901 11 SOUTH GLEBE ROAD, ARLINGTON, VA 22206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003626
VA
333600000X
Pharmacy
0201003626
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003626
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008518009
—
VA
01
—
4833958
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
10/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us