Organization
THE GIANT COMPANY, LLC
Active
Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
MARTINS PHARMACY #6003
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
739 PARK ST, CUMBERLAND, MD 21502-3172
(301) 777-7670
(301) 777-7673
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-1526
(717) 960-4226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P02373
MD
3336C0003X
Community/Retail Pharmacy
Primary
P-02373
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123470
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3810016875
—
WV
01
—
400459100
MEDICAID DME
MD
05
—
406675800
—
MD
Enumeration date
07/07/2006
Last updated
11/17/2020
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