Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 117
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
6223 BALTIMORE NATIONAL PIKE, BALTIMORE, MD 21228-2910
(410) 788-6220
(410) 788-0282
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
PO0259
MD
333600000X
Pharmacy
PO0259
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO0259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101284
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
691107200
—
MD
Enumeration date
07/09/2006
Last updated
06/12/2014
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