Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 799
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
61 CATOCTIN CIR NE, LEESBURG, VA 20176-3100
(703) 771-9518
(703) 777-3690
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
0201003057
VA
333600000X
Pharmacy
0201003057
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008530351
—
VA
01
—
4823921
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
12/04/2013
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