NPI 1366475618 · live from the CMS NPI Registry
Giant Of Maryland LLC
Pharmacy, Community/Retail Pharmacy in Bear, DE. National Provider Identifier 1366475618, active.
NPI record
| NPI | 1366475618 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 300 Eden Cir, Bear, DE 19701 |
| Practice phone | 302-832-0156 |
| Mailing address | Po Box 1000, Ms 3000, Portland, ME 04104 |
| Enumerated | July 9, 2006 |
| Last updated | March 5, 2020 |
| Authorized official | Ira Kress, President |
| Other names | Super G Pharmacy 385 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | A30000582 (DE) |
| Pharmacy | 333600000X | A30000582 (DE) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | A30000582 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.