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Organization

GIANT OF MARYLAND LLC

Active
Other names
GIANT PHARMACY 198
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
9812 FALLS RD, POTOMAC, MD 20854-3976
(301) 983-4211
(301) 983-1864
Mailing address
9812 FALLS RD, POTOMAC, MD 20854-3976

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1483
MD
333600000X
Pharmacy
PO1483
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1483
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2116401
OTHER ID NUMBER-COMMERCIAL NUMBER
05
696203300
MD
Enumeration date
07/09/2006
Last updated
05/12/2009
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