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Organization

GIANT OF MARYLAND LLC

Active
Other names
GIANT PHARMACY 226
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
16593 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4623
(703) 221-2766
(703) 441-3190
Mailing address
16593 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4623

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003285
VA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4829264
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/11/2006
Last updated
09/11/2025
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