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General NPI Number Information
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NPI Number | 1194757104
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Entity Type | Organization
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Legal Business Name | THE GIANT COMPANY, LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 70 S LOCUST ST
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City | HAZLETON
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State | PA
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Zip | 18201-6100
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Country | US
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Telephone | 570-459-5759
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Fax | 570-459-6038
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Provider Business Mailing Address
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Address Line | 1149 HARRISBURG PIKE ATTN: THIRD PARTY COORDINATOR
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City | CARLISLE
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State | PA
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Zip | 17013-1607
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Country | US
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Telephone | 717-960-8553
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Fax | 717-960-1389
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Authorized Official
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Title or Position | VICE PRESIDENT PHARMACY
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Name | LEIGH SHIRLEY
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Credential |
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Telephone | 717-240-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP414927L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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