Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
6364A SPRINGFIELD PLZ, SPRINGFIELD, VA 22150-3431
(703) 569-5401
(703) 866-5633
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003095
VA
333600000X
Pharmacy
0201003095
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003095
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008562342
—
VA
01
—
4827082
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
03/25/2021
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