# GIANT EAGLE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366685208
- **Authorized official:** DEBRA KRASNOW PHARMD (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (412) 968-1550

## Contact information

- **Practice address:** 1760 HILLIARD ROME RD, HILLIARD, OH 43026-9067
- **Practice address phone:** (614) 921-9162
- **Practice address fax:** (614) 777-2986
- **Mailing address:** 101 KAPPA DR, PITTSBURGH, PA 15238-2809
- **Mailing address phone:** (412) 968-1550
- **Mailing address fax:** (412) 968-1727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02128805000016810 | OH | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 870021414 | MEDICARE RAILROAD FLU 6505BB | OH |