Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 109
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
405 N CENTER ST, WESTMINSTER, MD 21157-5119
(410) 857-6320
(410) 857-4509
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1630
MD
333600000X
Pharmacy
PO1630
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117643
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
695801000
—
MD
Enumeration date
07/09/2006
Last updated
09/26/2013
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