Organization
THE GIANT COMPANY, LLC
Active
Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
Martin's Pharmacy #6307
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
LEIGH SHIRLEY (VICE PRESIDENT, PHARMACY)
(717) 240-1506
Entity
Organization
Contact information
Practice address
1320 LONDONTOWN BOULEVARD, ELDERSBURG, MD 21784
(410) 552-5749
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-0249
(717) 240-1526
(717) 960-4226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P-04460
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411214800
—
MD
01
—
411603800
MEDICAID DME
MD
01
—
461980
CDS LICENSE
MD
Enumeration date
08/15/2006
Last updated
11/23/2020
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