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21D2131879 CLIA NUMBER - GIANT PHARMACY #315

Laboratory Demographics

CLIA Number: 21D2131879

Facility Name: GIANT PHARMACY #315

Facility Address:
7546 ANNAPOLIS ROAD
LANHAM, MD
ZIP 20784
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Facility Phone Number: 301 577-6128

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1679506927

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 21D2131879
LAB Type Pharmacy
Facility Name GIANT PHARMACY #315
Street 7546 ANNAPOLIS ROAD
City LANHAM
State MD
ZIP 20784
Phone 301 577-6128
CertificateType 4
CertificateEffectiveDate 6/7/2023
CertificateExpirationDate 6/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024