NPI | 1083647333 |
---|---|
Doing Business As | GIANT PHARMACY 369 |
Entity Type | Organization |
Authorized Contact | BOB STONE Dir 3 Rd Party And Managed Care 781-380-5609 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MD PO0266) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-08-22 |