Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 194
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD STONE (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
2323 FOREST DR, ANNAPOLIS, MD 21401-3833
(410) 224-2850
(410) 571-1190
Mailing address
2323 FOREST DR, ANNAPOLIS, MD 21401-3833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO1380
MD
333600000X
Pharmacy
PO1380
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO1380
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114976
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
696904600
—
MD
Enumeration date
07/09/2006
Last updated
09/23/2011
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