NPI | 1114950466 |
---|---|
Doing Business As | GIANT PHARMACY 344 |
Entity Type | Organization |
Authorized Contact | BRAD DAYTON Director 617-770-8732 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MD PO2047) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2011-10-13 |