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Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 376
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
1414 8TH ST NW, WASHINGTON, DC 20001-3304
(202) 628-0577
(202) 232-3505
Mailing address
1414 8TH ST NW, WASHINGTON, DC 20001-3304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RX8800113
DC
333600000X
Pharmacy
RX8800113
DC
3336C0003X
Community/Retail Pharmacy
Primary
RX8800113
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020742700
—
DC
01
—
0902280
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
11/17/2011
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