Organization
GIANT OF MARYLAND LLC
Active
Other names
GIANT PHARMACY 376
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
1414 8TH ST NW, WASHINGTON, DC 20001-3304
(202) 628-0577
(202) 232-3505
Mailing address
1414 8TH ST NW, WASHINGTON, DC 20001-3304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RX8800113
DC
333600000X
Pharmacy
RX8800113
DC
3336C0003X
Community/Retail Pharmacy
Primary
RX8800113
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020742700
—
DC
01
—
0902280
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
11/17/2011
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