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Organization

RISER FOODS COMPANY

Active
Parent organization
GIANT EAGLE INC
Other names
GIANT EAGLE PHARMACY 6388
Organization subpart
Yes

Provider details

NPI number
Legal business name
GIANT EAGLE INC
Authorized official
DEBORAH J ELMS (INSURANCE CONTRACTING & CREDENTIALI)
(412) 967-4775
Entity
Organization

Contact information

Practice address
7400 BROADVIEW RD, PARMA, OH 44134-5718
(216) 328-8263
(216) 328-8267
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2454535
OH
01
3672094
OTHER ID NUMBER-COMMERCIAL NUMBER
01
P00419119
MEDICARE RAILROAD FLU RISER OHIO
OH
Enumeration date
07/29/2006
Last updated
12/27/2023
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