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Organization

GIANT OF MARYLAND LLC

Active
Parent organization
AHOLD USA
Other names
GIANT PHARMACY 338
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHOLD USA
Authorized official
MR. RAYMOND MCCALL RPH (SVP OF HEALTH & HOUSEHOLD)
(717) 960-5666
Entity
Organization

Contact information

Practice address
7025 BERRY RD, ACCOKEEK, MD 20607-3419
(301) 893-3101
(301) 893-3103
Mailing address
1149 HARRISBURG PIKE, THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
(717) 960-8553

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P03138
MD
333600000X
Pharmacy
P03138
MD
3336C0003X
Community/Retail Pharmacy
Primary
P03138
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2126907
OTHER ID NUMBER-COMMERCIAL NUMBER
05
401957100
MD
Enumeration date
07/09/2006
Last updated
06/19/2017
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