Organization
MARYLAND GROCERY STORE COMPANY
Active
Other names
GIANT EAGLE PHARMACY 1841
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHAPPELL (VP OF PHARMACY)
(412) 463-6200
Entity
Organization
Contact information
Practice address
1275 W PATRICK ST, FREDERICK, MD 21702-4886
(301) 668-8717
(301) 360-0513
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TOWNSHIP, PA 16066-5213
(412) 963-6200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P02508
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126224
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
699375300
—
MD
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE MARYLAND
MD
Enumeration date
07/29/2006
Last updated
11/13/2024
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