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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