Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy 2317
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KRESS (PRESIDENT)
(207) 885-2518
Entity
Organization
Contact information
Practice address
18140 VILLAGE MART DR, OLNEY, MD 20832-1413
(301) 774-6304
(301) 570-9291
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO0263
MD
333600000X
Pharmacy
PO0263
MD
3336C0003X
Community/Retail Pharmacy
Primary
PO0263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101626
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
690703200
—
MD
Enumeration date
07/09/2006
Last updated
03/25/2021
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