NPI | 1831121847 |
---|---|
Doing Business As | GIANT PHARMACY #6051 |
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 PP414375L) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-10-19 |