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Organization

THE GIANT COMPANY, LLC

Active
Parent organization
THE GIANT COMPANY, LLC
Other names
MARTINS PHARMACY #6012
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE GIANT COMPANY, LLC
Authorized official
NICHOLAS BERTRAM (PRESIDENT)
(207) 885-7454
Entity
Organization

Contact information

Practice address
2032 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-7515
(814) 944-9998
(814) 944-8419
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
333600000X
Pharmacy
PP414025L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007302990104
PA
01
3977139
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
10/19/2020
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