# GIANT OF MARYLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Giant Pharmacy \#384
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265625867
- **Authorized official:** ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
- **Authorized official phone:** (717) 240-1526

## Contact information

- **Practice address:** 1535 ALABAMA AVENUE S.E., WASHINGTON, DC 20032
- **Practice address phone:** (202) 610-6450
- **Practice address fax:** (202) 610-6490
- **Mailing address:** 1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
- **Mailing address phone:** (717) 240-5520
- **Mailing address fax:** (717) 960-8371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0700353 | DC | — |
| 3336C0003X | Community/Retail Pharmacy | 0700353 | DC | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 05/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0904498 | NCPDP | DC |
| 05 | — | 09273100 | — | DC |