| NPI | 1912930256 |
|---|---|
| Doing Business As | GIANT PHARMACY 764 |
| Entity Type | Organization |
| Authorized Contact | BOB STONE Dir 3 Rd Party And Managed Care 781-380-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003031) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |