Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 313
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
18331 LEAMAN FARM RD, GERMANTOWN, MD 20874-2904
(301) 528-2764
(301) 528-3190
Mailing address
18331 LEAMAN FARM RD, GERMANTOWN, MD 20874-2904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO2382
MD
333600000X
Pharmacy
PO2382
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO2382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123432
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
697501100
—
MD
Enumeration date
07/11/2006
Last updated
07/01/2009
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