Organization
GIANT OF MARYLAND, LLC
Active
Organization
GIANT OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON REID (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
8665 PHILADELPHIA RD, BALTIMORE, MD 21237-3020
(410) 574-4766
(410) 574-9041
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1298
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114178
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
694801400
—
MD
Enumeration date
07/09/2006
Last updated
04/09/2018
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