Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy 2331
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-2518
Entity
Organization
Contact information
Practice address
810 FAIRMONT DR, BOWIE, MD 20716-3738
(301) 352-2364
(301) 352-3190
Mailing address
3500 CRAIN HWY, BOWIE, MD 20716-1303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1935
MD
333600000X
Pharmacy
PO1935
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1935
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120715
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
696802300
—
MD
Enumeration date
07/09/2006
Last updated
05/07/2025
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