Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #308
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
13 LEE AIRPORT ROAD, EDGEWATER, MD 21037
(410) 956-4150
(410) 956-3098
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
PO0290
MD
333600000X
Pharmacy
PO0290
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO0290
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111350
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
689504200
—
MD
Enumeration date
07/09/2006
Last updated
12/22/2014
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