Organization
THE GIANT COMPANY, LLC
Active
Other names
GIANT PHARMACY #6262
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BERTRAM (PRESIDENT)
(207) 885-7454
Entity
Organization
Contact information
Practice address
502 CHURCH ST, DANVILLE, PA 17821-1994
(570) 271-2509
(570) 271-2527
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415290L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01834553
—
PA
05
—
1007302990059
—
PA
01
—
3972230
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
06/15/2021
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