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Contact Information

GIANT OF MARYLAND LLC
11200 MAIN STREET
FAIRFAX, VA22030
 Phone: 703-277-2864
 Fax: 703-277-3190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GIANT OF MARYLAND LLC

NPI Number 1649203993
LBN Legal business name GIANT OF MARYLAND LLC
Authorized official BRAD DAYTON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 09/23/2011 - About 15 years ago
Identifiers
VA License # 0201003255
VA Medicaid 008506485
Other 4828945 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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