Organization
GIANT FOOD STORES LLC
Active
Parent organization
AHOLDUSA
Other names
Giant Pharmacy 6332
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLDUSA
Authorized official
MR. RAYMOND MCCALL (SVP, PHARMACY THIRD PARTY)
(717) 960-5666
Entity
Organization
Contact information
Practice address
224 HARDWOOD DR, LEWISBURG, PA 17837
(570) 523-9469
(570) 524-9044
Mailing address
1149 HARRISBURG PIKE, PHARMACY DEPT - APRIL HOOVER, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990290
—
PA
01
—
PP482566
STATE LICENSE
PA
Enumeration date
06/04/2015
Last updated
03/07/2023
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