| NPI | 1114952173 |
|---|---|
| Doing Business As | GIANT PHARMACY 364 |
| Entity Type | Organization |
| Authorized Contact | ALISON FARRELL Director, Pharmacy Third Party 717-240-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD PO2674) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD PO2674) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD PO2674) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-10-04 |