Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy #1665
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (MANAGED CARE CREDENTIALING COORDINA)
(412) 968-1529
Entity
Organization
Contact information
Practice address
20111 ROUTE 19, CRANBERRY TWP, PA 16066
(724) 772-7420
(724) 772-7471
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TWP, PA 16066-5213
(412) 968-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414094L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680286
—
PA
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
08/11/2006
Last updated
07/30/2025
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