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Organization

GIANT OF MARYLAND LLC

Active
Other names
Giant Pharmacy #2330
Organization subpart
No

Provider details

NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-7454
Entity
Organization

Contact information

Practice address
1649 CROFTON CTR, CROFTON, MD 21114-1330
(410) 721-1771
(844) 411-6237
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO0988
MD
333600000X
Pharmacy
PO0988
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO0988
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2112225
OTHER ID NUMBER-COMMERCIAL NUMBER
05
694502300
MD
Enumeration date
07/09/2006
Last updated
01/19/2023
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