Organization · NPI-2

Giant Of Maryland LLC

Pharmacy, Community/Retail Pharmacy · Cockeysville, MD

NPI number1124051479
StatusActive
Last updated in NPPESApr 30, 2009

Details

NPI
1124051479
Entity type
Organization (NPI-2)
Legal business name
Giant Of Maryland LLC
Organization subpart
No
Enumeration date
Jul 9, 2006
Last updated
Apr 30, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPO1513MDYes
333600000X PharmacyPO1513MD

Other names

  • Giant Pharmacy 100 (Doing Business As)

Practice location

11399 York Rd
Cockeysville, MD 21030-1909

Phone 410-785-1065 · Fax 410-785-1071

Mailing address

11399 York Rd
Cockeysville, MD 21030-1909

Authorized official

Bob Stone
Dir 3rd Party And Managed Care
6177706257

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