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GIANT OF MARYLAND LLC NPI 1366475618


NPI Information

NPI: 1366475618
Provider Name: GIANT OF MARYLAND LLC

Doing Business As: SUPER G PHARMACY 385

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
300 EDEN CIR
BEAR, DE
ZIP 19701
Phone: (302) 832-0156
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GIANT OF MARYLAND LLC is a community/retail pharmacy pharmacy in Bear, DE. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GIANT OF MARYLAND LLC NPI is 1366475618. The provider is registered as an organization entity type.
The provider Is Doing Business As Super G Pharmacy 385.

The provider's business location address is:

300 EDEN CIR
BEAR, DE
ZIP 19701-303
Phone: (302) 832-0156
Fax: (302) 832-5190

The provider's authorized official is Ira Kress .
The authorized official title is President and has the following contact phone number (207) 885-7454.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 3/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesA30000582DELAWARENo
2333600000XPharmacyA30000582DELAWARENo
33336C0003XPharmacyCommunity/Retail PharmacyA30000582DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000535107MEDICAIDDELAWARE
20803127OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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