Organization
GIANT EAGLE INC
Active
Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 0079
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (MANAGED CARE CREDENTIALING)
(412) 968-1529
Entity
Organization
Contact information
Practice address
510 MARWALT LN, ROARING SPRING, PA 16673-2130
(814) 224-4201
(814) 224-0067
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TWP, PA 16066-5213
(412) 968-1529
(412) 406-1561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414064L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680259
—
PA
01
—
3956111
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
RRB
PA
Enumeration date
07/29/2006
Last updated
08/11/2025
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