Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
Giant Pharmacy #6422
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
NICHOLAS BERTRAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
4320 N. 5TH STREET HWY, TEMPLE, PA 19560
(610) 939-2644
(610) 939-2656
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP-481856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990262
—
PA
Enumeration date
08/12/2008
Last updated
11/23/2020
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