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Giant Of Maryland LLC

Pharmacy, Community/Retail Pharmacy in West Hyattsville, MD. Organization (NPI-2).

NPI number1609801661
StatusActive
Last updated in NPPESJul 25, 2017

Details

NPI
1609801661
Entity type
Organization (NPI-2)
Legal business name
Giant Of Maryland LLC
Organization subpart
Yes
Enumeration date
Jul 11, 2006
Last updated
Jul 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPO2063MDYes
332B00000X Durable Medical Equipment & Medical SuppliesPO2063MD
333600000X PharmacyPO2063MD

Other names

  • Giant Pharmacy 140 (Doing Business As)

Practice location

5815 Eastern Ave
West Hyattsville, MD 20782-2201

Phone 301-559-8721 · Fax 301-853-1190

Mailing address

1149 Harrisburg Pike
Third Party Coordinator
Carlisle, PA 17013-1607

Phone 717-960-8553

Authorized official

Raymond Mccall
Svp Of Health & Household
7179605666

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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