| NPI | 1629000641 |
|---|---|
| Doing Business As | GIANT PHARMACY #6046 |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BERTRAM President 207-885-7454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: PA PP415641L) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-19 |