Organization
GIANT OF MARYLAND LLC
Active
Parent organization
AHOLD USA
Other names
Giant Pharmacy #339
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
200 ROSEWICK RD, LA PLATA, MD 20646-4216
(301) 392-5485
(301) 392-5487
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654320100
—
MD
Enumeration date
02/17/2014
Last updated
07/15/2014
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