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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	0201002775	VA
3	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	4824911	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1861424889
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	:	717-240-5520
Fax Number	:	717-960-8371

Provider Business Practice Location Address
First Line	:	1950 S PLEASANT VALLEY RD
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-4400
Country	:	US
Telephone Number	:	540-665-1817
Fax Number	:	540-665-0229

Authorized Official
Title or Position	:	DIRECTOR, PHARMACY THIRD PARTY
Name	:	ALISON FARRELL
Credential	:
Telephone Number	:	717-240-1526

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/17/2020

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Directions to “THE GIANT COMPANY, LLC ” Practice Location

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