Organization
GIANT FOOD STORES, LLC
Active
Parent organization
AHOLD USA INC
Other names
Martin's Pharmacy #6433
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
10250 STAPLES MILL RD, GLEN ALLEN, VA 23060-3064
(804) 755-6207
(804) 755-7166
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003948
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003948
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010033012
—
VA
01
—
4837867
NCPDP
VA
01
—
P00758645
MEDICARE RAILROAD - FLU BILLING
—
01
—
PHC089
MEDICARE B - FLU BILLING
—
Enumeration date
06/06/2006
Last updated
03/07/2023
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