Organization
GIANT OF MARYLAND LLC
Active
Parent organization
AHOLDUSA
Other names
GIANT PHARMACY 2311
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLDUSA
Authorized official
MR. RAYMOND MCCALL RPH (SVP HEALTH & HOUSEHOLD)
(717) 960-8553
Entity
Organization
Contact information
Practice address
1155 ANNAPOLIS RD, ODENTON, MD 21113-1633
(410) 305-1291
(410) 305-1287
Mailing address
1149 HARRISBURG PIKE, ATTN: THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P06996
STATE LICENSE
MD
Enumeration date
11/20/2015
Last updated
03/07/2023
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