Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 242, Giant Pharmacy #2747
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
6200 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1700
(703) 370-0122
(703) 823-2250
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003038
VA
333600000X
Pharmacy
0201003038
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08510733
—
VA
01
—
4811142
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
08/19/2020
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