Provider Information for 1568402873
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
GIANT FOOD STORES, LLC
Other Names:Doing Business As:MARTIN'S PHARMACY #6494Organization Subpart: YES
NPI: 1568402873
Last Updated: 2023-03-07
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1568402873 | ||||||||||||||||||||
Enumeration Date | 2006-06-07 | ||||||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Authorized Official Information | Name: Mrs. LEIGH SHIRLEY RPh Title: Vice President - Pharmacy Phone: 7172401506 | ||||||||||||||||||||
Mailing Address | 1149 HARRISBURG PIKE CARLISLE, PA 17013-1607 United States Phone: 717-240-1526 | Fax:717-960-4226 | ||||||||||||||||||||
Primary Practice Address | 3107-15 BOULEVARD COLONIAL HEIGHTS, VA 23834-2405 United States Phone: 804-520-4106 | Fax:804-520-8396 | ||||||||||||||||||||
Secondary Practice Address(es) | |||||||||||||||||||||
Health Information Exchange |
| ||||||||||||||||||||
Other Identifiers |
| ||||||||||||||||||||
Taxonomy |
|