Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 192
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
18250 FLOWER HILL WAY, GAITHERSBURG, MD 20879-5300
(301) 948-1198
(301) 926-8640
Mailing address
18250 FLOWER HILL WAY, GAITHERSBURG, MD 20879-5300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PO1354
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114534
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
695303400
—
MD
Enumeration date
07/09/2006
Last updated
09/23/2011
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