| 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 |