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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