Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 777
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
7558 TELEGRAPH RD, ALEXANDRIA, VA 22315-3829
(703) 922-6620
(703) 971-3531
Mailing address
7558 TELEGRAPH RD, ALEXANDRIA, VA 22315-3829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003047
VA
333600000X
Pharmacy
0201003047
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008514950
—
VA
01
—
4819578
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
10/20/2011
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