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Organization

GIANT OF MARYLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization

Contact information

Practice address
10790 TOWN CENTER BLVD, DUNKIRK, MD 20754
(410) 286-2901
(410) 286-2903
Mailing address
185 CAMPANELLI DR, BRAINTREE, MA 02184
(781) 380-5611
(781) 380-5617

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO4466
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO4666
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
411349700
MD
Enumeration date
08/09/2006
Last updated
11/22/2017
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