21D2170769 CLIA NUMBER - GIANT PHARMACY #338

Laboratory Demographics

CLIA Number: 21D2170769

Facility Name: GIANT PHARMACY #338

Facility Address:
7025 BERRY ROAD
ACCOKEEK, MD
ZIP 20607
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Facility Phone Number: 301 893-3101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013940360

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	21D2170769
LAB Type	Physician Office
Facility Name	GIANT PHARMACY #338
Street	7025 BERRY ROAD
City	ACCOKEEK
State	MD
ZIP	20607
Phone	301 893-3101
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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