| NPI | 1811929821 |
|---|---|
| Doing Business As | GIANT PHARMACY #6262 |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BERTRAM President 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP415290L) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-06-15 |