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Organization

THE GIANT COMPANY, LLC

Active
Parent organization
AHOLD USA INC
Other names
MARTINS PHARMACY #6104
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
1729 DUAL HWY, HAGERSTOWN, MD 21740-6653
(301) 745-4904
(301) 745-4906
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01869
MD
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2120121
OTHER ID NUMBER-COMMERCIAL NUMBER
01
406459300
MEDICAID DME
MD
05
406674000
MD
Enumeration date
06/29/2006
Last updated
11/20/2020
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