| NPI | 1043245095 |
|---|---|
| Doing Business As | GIANT PHARMACY 250 |
| Entity Type | Organization |
| Authorized Contact | BRAD DAYTON Director 617-770-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201003967) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003967) |
| 333600000X Pharmacy (Licence: VA 0201003967) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-01-06 |