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NPI Code Detail

MEDICARE: GIANT OF MARYLAND LLC

MEDICARE: GIANT OF MARYLAND 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
1332B00000XDurable Medical Equipment & Medical SuppliesPO0900MD
2333600000XPharmacyPO0900MD
33336C0003XCommunity/Retail PharmacyPO0900MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22111691OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1780617035
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIANT OF MARYLAND LLC
Provider Business Mailing Address
First Line : 1149 HARRISBURG PIKE
Second Line : THIRD PARTY COORDINATOR
City : CARLISLE
State : PA
Zip : 17013-1607
Country : US
Telephone Number : 717-960-8553
Fax Number :
Provider Business Practice Location Address
First Line : 1280 E WEST HWY
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-3242
Country : US
Telephone Number : 301-565-0575
Fax Number : 301-587-7324
Authorized Official
Title or Position : SVP OF HEALTH & HOUSEHOLD
Name : MR. RAYMOND MCCALL
Credential : RPH
Telephone Number : 717-960-5666
Provider Enumeration Date : 07/09/2006
Last Update Date : 06/19/2017

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Directions to “GIANT OF MARYLAND LLC ” Practice Location

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