Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 779
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY AND MANAGED CARE)
(617) 770-6257
Entity
Organization
Contact information
Practice address
8025 SUDLEY RD, MANASSAS, VA 20109-8001
(703) 361-9210
(703) 369-5108
Mailing address
8025 SUDLEY RD, MANASSAS, VA 20109-8001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003033
VA
333600000X
Pharmacy
0201003033
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008514232
—
VA
01
—
4818134
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
02/06/2009
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