# SUPERSALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Giant Eagle \#665
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235541087
- **Authorized official:** KATIE SIPE R.D. LDN (REGISTED DIETITIAN)
- **Authorized official phone:** (724) 772-1030

## Contact information

- **Practice address:** 20111 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6207
- **Practice address phone:** (724) 772-1030
- **Practice address fax:** (724) 772-2841
- **Mailing address:** 20111 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6207
- **Mailing address phone:** (724) 772-1030
- **Mailing address fax:** (724) 772-2841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | DN004225 | PA | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 05/28/2014