Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #233
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(717) 770-8732
Entity
Organization
Contact information
Practice address
7235 ARLINGTON BLVD, FALLS CHURCH, VA 22042-3219
(703) 280-3350
(703) 280-3356
Mailing address
7235 ARLINGTON BLVD, FALLS CHURCH, VA 22042-3219
(703) 280-3350
(703) 280-3356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
201004211
VA
333600000X
Pharmacy
201004211
VA
3336C0003X
Community/Retail Pharmacy
Primary
201004211
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992983357
—
VA
01
—
4840737
NCPDP
VA
Enumeration date
02/07/2008
Last updated
10/13/2011
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