| NPI | 1154353175 |
|---|---|
| Doing Business As | GIANT PHARMACY 6523 |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BERTRAM President 207-885-7454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP481171) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-10-24 |