Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 100
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY AND MANAGED CARE)
(617) 770-6257
Entity
Organization
Contact information
Practice address
11399 YORK RD, COCKEYSVILLE, MD 21030-1909
(410) 785-1065
(410) 785-1071
Mailing address
11399 YORK RD, COCKEYSVILLE, MD 21030-1909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PO1513
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1513
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116728
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
696002200
—
MD
Enumeration date
07/09/2006
Last updated
04/30/2009
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