Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE INC
Other names
GIANT EAGLE PHARMACY 1297
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
22160 CENTER RIDGE RD, ROCKY RIVER, OH 44116-3926
(440) 356-3287
(440) 356-3290
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
021075500
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078773
—
OH
01
—
3665378
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419119
MEDICARE RAILROAD FLU RISER OHIO
OH
Enumeration date
07/29/2006
Last updated
08/28/2020
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