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Giant Of Maryland Llc

Giant Of Maryland Llc is a health care provider in Spotsylvania, VA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 10346 Courthouse Rd, Spotsylvania, VA 22553-1710, US
Practice Location Phone540-710-9314
Practice Location Fax540-710-9190
Legal Business NameGIANT OF MARYLAND LLC
Other Organization NameGIANT PHARMACY 256
Other Organization Name TypeDoing Business As Name
NPI ?1285667535
Entity TypeOrganization
Enumeration Date ? Jul 9, 2006
Last Update Date ? Oct 28, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Giant Of Maryland Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies 0201003653Virginia
Pharmacy 0201003653Virginia
PharmacyCommunity/Retail Pharmacy 0201003653Virginia

legacy-id-icon Legacy Provider IDs of Giant Of Maryland Llc

Provider IdIssuer StateIssuer TypeIssuer
4834253OtherOTHER ID NUMBER-COMMERCIAL NUMBER
008504563VirginiaMedicaid

official-icon Authorized Official of Giant Of Maryland Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Giant Of Maryland Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Brad Dayton
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number617-770-8782