Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
Giant Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
NICHOLAS BERTRAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
2121 S ATHERTON ST, STATE COLLEGE, PA 16801-7610
(814) 861-2790
(814) 861-2767
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
—
—
333600000X
Pharmacy
PP415527L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990065
—
PA
01
—
3976074
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/10/2006
Last updated
03/12/2021
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