| NPI | 1760415012 |
|---|---|
| Doing Business As | GIANT PHARMACY 111 |
| Entity Type | Organization |
| Authorized Contact | BOB STONE Dir 3 Rd Party And Managed Care 617-770-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD PO1708) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-07-01 |