| NPI | 1558491993 |
|---|---|
| Doing Business As | GIANT PHARMACY #234 |
| Entity Type | Organization |
| Authorized Contact | BRAD DAYTON Director 617-770-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004138) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201004138) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-10-13 |