Organization
GIANT FOOD STORES LLC
Active
Parent organization
AHOLD USA INC
Other names
GIANT PHARMACY #6305
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
LEIGH SHIRLEY (VICE PRESIDENT PHARMACY)
(717) 240-1506
Entity
Organization
Contact information
Practice address
16001606 NAY AUG AVENUE, SCRANTON, PA 18509
(570) 343-7940
(570) 343-8827
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415786L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990167
—
PA
01
—
3979044
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
02/10/2016
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