NPI 1023041365

Giant of Maryland LLC

Organisation Community/Retail Pharmacy Fairfax, VA

Practice location

Address: 10653 Braddock Rd, Fairfax, VA 22032-2202
Phone: (703) 591-0020
Fax: (703) 385-3848

Authorised official

Name: Brad Dayton
Title: Director
Phone: (617) 770-8782

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 0201003039 (VA)

Other Pharmacy providers in Virginia →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 0201003039 (VA)

Other Durable Medical Equipment & Medical Supplies providers in Virginia →

Pharmacy

Suppliers Taxonomy 333600000X Licence 0201003039 (VA)

Registry record

NPI: 1023041365
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 28 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.