Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 303
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
601 E 33RD ST, BALTIMORE, MD 21218-3505
(410) 649-4181
(410) 649-4190
Mailing address
601 E 33RD ST, BALTIMORE, MD 21218-3505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P04050
MD
333600000X
Pharmacy
P04050
MD
3336C0003X
Community/Retail Pharmacy
Primary
P04050
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127377
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4081710183
—
MD
Enumeration date
07/09/2006
Last updated
10/28/2011
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