Organization
GIANT OF MARYLAND LLC
Active
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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