Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 196
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (MANAGER)
(617) 770-8782
Entity
Organization
Contact information
Practice address
20044 GOSHEN RD, GAITHERSBURG, MD 20879-1604
(301) 990-0627
(301) 926-8661
Mailing address
20044 GOSHEN RD, GAITHERSBURG, MD 20879-1604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1411
MD
333600000X
Pharmacy
PO1411
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1411
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115675
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
696304800
—
MD
Enumeration date
07/11/2006
Last updated
09/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us