Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 111
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY AND MANAGED CARE)
(617) 770-6257
Entity
Organization
Contact information
Practice address
6480 FREETOWN RD, COLUMBIA, MD 21044-4050
(410) 531-1111
(410) 531-3714
Mailing address
6480 FREETOWN RD, COLUMBIA, MD 21044-4050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PO1708
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118366
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
695503700
—
MD
Enumeration date
07/09/2006
Last updated
07/01/2009
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