Organization
GIANT FOOD STORES LLC
Active
Parent organization
AHOLD USA INC
Other names
GIANT PHARMACY #6072
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
ALISON FARRELL (DIRECTOR PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
255 NORTHLAND CTR, STATE COLLEGE, PA 16803-2903
(814) 237-1837
(814) 237-9313
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414199L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP414199L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990004
—
PA
01
—
3958381
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
07/25/2013
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