| NPI | 1114950458 |
|---|---|
| Doing Business As | GIANT PHARMACY 242 |
| Entity Type | Organization |
| Authorized Contact | IRA KRESS President 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201003038) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003038) |
| 333600000X Pharmacy (Licence: VA 0201003038) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-19 |