Organization
THE GIANT COMPANY, LLC
Active
Parent organization
THE GIANT COMPANY, LLC
Other names
GIANT PHARMACY #6046
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GIANT COMPANY, LLC
Authorized official
NICHOLAS BERTRAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
2721 STREET RD, BENSALEM, PA 19020-2810
(215) 604-1390
(215) 604-0306
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PP415641L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302990126
—
PA
05
—
21011183
—
PA
01
—
3977254
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/19/2020
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