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Organization

GIANT OF MARYLAND LLC

Active
Other names
GIANT PHARMACY 141
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization

Contact information

Practice address
7940 CRAIN HWY S, GLEN BURNIE, MD 21061-4932
(410) 969-3030
(410) 969-5877
Mailing address
7940 CRAIN HWY S, GLEN BURNIE, MD 21061-4932

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO0279
MD
333600000X
Pharmacy
PO0279
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO0279
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2106094
OTHER ID NUMBER-COMMERCIAL NUMBER
05
690305300
MD
Enumeration date
07/11/2006
Last updated
10/13/2011
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