Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
MARTIN'S PHARMACY #6425
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
24 RISING SUN TOWNE CENTER, RISING SUN, MD 21911
(410) 658-8253
(410) 658-2465
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P02411
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400457400
MEDICAID DME
MD
05
—
406673100
—
MD
Enumeration date
07/07/2006
Last updated
11/23/2020
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