Organization · NPI-2

Giant Of Maryland LLC

Pharmacy, Community/Retail Pharmacy · Laurel, MD

NPI number1972536225
StatusActive
Last updated in NPPESOct 13, 2011

Details

NPI
1972536225
Entity type
Organization (NPI-2)
Legal business name
Giant Of Maryland LLC
Organization subpart
No
Enumeration date
Jul 9, 2006
Last updated
Oct 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPO0287MDYes
333600000X PharmacyPO0287MD
332B00000X Durable Medical Equipment & Medical SuppliesPO0287MD

Other names

  • Giant Pharmacy 340 (Doing Business As)

Practice location

1009 Fairlawn Ave
Laurel, MD 20707-4807

Phone 301-498-9337 · Fax 301-604-9007

Mailing address

1009 Fairlawn Ave
Laurel, MD 20707-4807

Authorized official

Brad Dayton
Director
6177708782

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.

Other Pharmacy, Community/Retail Pharmacy providers in Laurel, MD