| NPI | 1245263599 |
|---|---|
| Doing Business As | GIANT PHARMACY 147 |
| Entity Type | Organization |
| Authorized Contact | IRA KRESS President 207-885-7454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD PO0283) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD PO0283) |
| 333600000X Pharmacy (Licence: MD PO0283) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-09-28 |