Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #312
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
5463 WISCONSIN AVE, CHEVY CHASE, MD 20815-3532
(301) 951-6101
(301) 951-6131
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1603
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO4470
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO4470
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411346200
—
MD
Enumeration date
08/16/2006
Last updated
12/26/2013
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