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	PP415609L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3976973	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1366474389
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 KNAPP ROAD AND NORTH WALES
Second Line	:
City	:	MONTGOMERY TOWNSHIP
State	:	PA
Zip	:	19454
Country	:	US
Telephone Number	:	215-661-0547
Fax Number	:	215-661-9074

Authorized Official
Title or Position	:	VICE PRESIDENT PHARMACY
Name	:	LEIGH SHIRLEY
Credential	:
Telephone Number	:	717-240-1506

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/20/2020

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Directions to “THE GIANT COMPANY, LLC ” Practice Location

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