Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #349
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-2518
Entity
Organization
Contact information
Practice address
3530 SUGARLOAF PKWY, FREDERICK, MD 21704-7909
(301) 874-1201
(301) 874-1212
Mailing address
3530 SUGAR LOAF PARKWAY, FREDRICK, MD 21704
(301) 874-1202
(301) 874-1212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO4539
MD
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO4539
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133281
NCPDP
MD
05
—
4171322 00
—
MD
Enumeration date
02/08/2007
Last updated
02/14/2025
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