Organization
THE GIANT COMPANY, LLC
Active
Parent organization
AHOLD USA INC
Other names
MARTINS PHARMACY #6275
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA INC
Authorized official
LEIGH SHIRLEY (VICE PRESIDENT PHARMACY)
(717) 240-1506
Entity
Organization
Contact information
Practice address
1650C WESEL BLVD, HAGERSTOWN, MD 21740
(301) 766-9148
(301) 393-4580
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P04169
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132063
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3810004109
—
WV
01
—
407722900
MEDICAID DME
MD
05
—
407784900
—
MD
Enumeration date
07/10/2006
Last updated
11/20/2020
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