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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1821879842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIANT OF MARYLAND, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	ATTN PHARMACY
City	:	PORTLAND
State	:	ME
Zip	:	04104-5005
Country	:	US
Telephone Number	:	207-885-7454
Fax Number	:

Provider Business Practice Location Address
First Line	:	5320 ZENITH OVERLOOK
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-1490
Country	:	US
Telephone Number	:	301-657-7680
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRA KRESS
Credential	:
Telephone Number	:	207-885-2518

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	03/02/2026

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