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Organization

GIANT OF MARYLAND LLC

Active
Other names
GIANT PHARMACY 251
Organization subpart
No

Provider details

NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization

Contact information

Practice address
1900 ABBEY RD, CHARLOTTESVILLE, VA 22911-3543
(434) 244-4301
(434) 244-4339
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201003800
VA
333600000X
Pharmacy
0201003800
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201003800
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008516511
VA
01
4837007
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/09/2006
Last updated
08/21/2013
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