Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 74
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1165 MCKINNEY LN, PITTSBURGH, PA 15220-3417
(412) 921-1610
(412) 921-1864
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP412884L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680166
—
PA
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
08/11/2006
Last updated
01/06/2009
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