NPI | 1396794160 |
---|---|
Doing Business As | GIANT PHARMACY #389 |
Entity Type | Organization |
Authorized Contact | IRA KRESS President 207-885-7454 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DE A3-0000767) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE A3-0000767) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2021-03-24 |