Healthcare Provider Details

I. General information

NPI: 1801709092
Provider Name (Legal Business Name): THE GIANT COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 NOVA WAY
PARKESBURG PA
19365-1857
US

IV. Provider business mailing address

PO BOX 1000 MS 3000
PORTLAND ME
04104-5005
US

V. Phone/Fax

Practice location:
  • Phone: 610-817-0694
  • Fax: 610-817-0690
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN RUANE
Title or Position: PRESIDENT
Credential:
Phone: 207-885-7454