Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #389
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
38069 TOWN CENTER DR, MILLVILLE, DE 19967-6968
(302) 537-8210
(302) 537-8212
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
A3-0000767
DE
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000767
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844767
NCPDP
DE
05
—
1000039732
—
DE
Enumeration date
05/09/2006
Last updated
03/24/2021
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