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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