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Contact Information

GIANT FOOD STORES, LLC
10150 BROOK RD
GLEN ALLEN, VA23060
 Phone: 804-261-1760
 Fax: 804-261-5631
 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
Indicates primary specialty

NPI Profile & details for GIANT FOOD STORES, LLC

NPI # 1710927173
LBN Legal business name GIANT FOOD STORES, LLC
Authorized official LEIGH SHIRLEY - (VICE PRESIDENT, PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/07/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
VA License # 0201003638
VA Medicaid 008518394
Other PHC089 MEDICARE FLU
Other P00758645 MEDICARE FLU - RAIL ROAD
VA Other 09105263 MEDICAID DME
VA Other 4834227 NCPDP
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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