Organization Name: | GIANT OF MARYLAND LLC |
NPI Number: | 1184657439 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY) |
Mailing Address: | 19312 Lighthouse Plaza Blvd Rehoboth Beach |
State: | DE US |
Postal Code: | 19971 |
Phone Number: | 3022275954 |
Fax Number: | 3022266190 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | A30000654 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |