Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 344
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8732
Entity
Organization
Contact information
Practice address
6020 MARSHALEE DR, ELKRIDGE, MD 21075-5935
(410) 379-6607
(410) 540-4190
Mailing address
6020 MARSHALEE DR, ELKRIDGE, MD 21075-5935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PO2047
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121806
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
695602500
—
MD
Enumeration date
07/09/2006
Last updated
10/13/2011
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