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NPI Code Detail

MEDICARE: GIANT FOOD STORES, LLC

MEDICARE: GIANT FOOD STORES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies0202012524VA
23336C0003XCommunity/Retail Pharmacy0202012524VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00758645OTHERMEDICARE FLU - RAIL ROAD
4PHC089OTHERMEDICARE FLU

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24838732OTHERVANCPDP
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578503983
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIANT FOOD STORES, LLC
Provider Business Mailing Address
First Line : 1149 HARRISBURG PIKE
Second Line :
City : CARLISLE
State : PA
Zip : 17013-1607
Country : US
Telephone Number : 717-240-1526
Fax Number : 717-960-4226
Provider Business Practice Location Address
First Line : 7045 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1607
Country : US
Telephone Number : 804-272-2114
Fax Number : 804-419-1707
Authorized Official
Title or Position : VICE PRESIDENT - PHARMACY
Name : MRS. LEIGH SHIRLEY
Credential : RPH
Telephone Number : 717-240-1506
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/07/2023

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Directions to “GIANT FOOD STORES, LLC ” Practice Location

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