Giant of Maryland LLC

NPI #1720011075 in Lorton, Virginia

Provider Information

NPI Number
1720011075
Entity Type
Organization
Organization Name
Giant of Maryland LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 9, 2006
Last Updated
Oct 20, 2011

Practice Location

Address
8941 OX RD
City
Lorton
ZIP Code
22079-3216
Phone
(703) 690-5001

Authorized Official

Name
BRAD DAYTON
Title
DIRECTOR
Phone
(617) 770-8782

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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