| NPI | 1831122175 |
|---|---|
| Doing Business As | GIANT PHARMACY 779 |
| 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 (Licence: VA 0201003033) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201003033) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003033) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-02-06 |