Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 359
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
45101 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
(240) 725-5199
(240) 725-5190
Mailing address
45101 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO2535
MD
333600000X
Pharmacy
PO2535
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO2535
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124511
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
697202100
—
MD
Enumeration date
07/09/2006
Last updated
11/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us