Organization
GIANT OF MARYLAND LLC
Active
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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