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Organization

GIANT FOOD STORES LLC

Active
Parent organization
AHOLD USA INC
Other names
GIANT PHARMACY #6123
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHOLD USA INC
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization

Contact information

Practice address
2918 EASTON AVE, BETHLEHEM, PA 18017-4206
(610) 866-3393
(610) 866-4205
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414093L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007302990164
PA
01
3973028
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
08/07/2013
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