MEDICARE: THE GIANT COMPANY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PP481354	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3982988	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598797516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GIANT COMPANY, LLC

Provider Business Mailing Address
First Line	:	1149 HARRISBURG PIKE
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-1607
Country	:	US
Telephone Number	:	717-240-5520
Fax Number	:	717-960-8371

Provider Business Practice Location Address
First Line	:	300 E BALTIMORE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2504
Country	:	US
Telephone Number	:	610-623-8471
Fax Number	:	610-623-4128

Authorized Official
Title or Position	:	DIRECTOR, PHARMACY THIRD PARTY
Name	:	ALISON FARRELL
Credential	:
Telephone Number	:	717-240-1526

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/23/2020

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Directions to “THE GIANT COMPANY, LLC ” Practice Location

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