Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 364
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
1401 ROCK SPRING RD, BEL AIR, MD 21014-1920
(410) 420-2961
(410) 420-2990
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO2674
MD
333600000X
Pharmacy
PO2674
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO2674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126185
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
801002100
—
MD
Enumeration date
07/11/2006
Last updated
10/04/2013
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