Organization
GIANT OF MARYLAND LLC
Active
Parent organization
AHOLD USA
Other names
GIANT PHARMACY 760
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
6800 RICHMOND HWY, ALEXANDRIA, VA 22306-1704
(703) 765-6696
(703) 765-2474
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
0201003030
VA
333600000X
Pharmacy
0201003030
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008511888
—
VA
01
—
4814910
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
06/19/2017
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