Organization
GIANT EAGLE, INC.
Active
Other names
Giant Eagle Pharmacy #4237
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (PHARMACY MANAGED CARE CREDENTIALING)
(412) 968-1529
Entity
Organization
Contact information
Practice address
2067 INTERCHANGE RD, ERIE, PA 16509-8315
(814) 868-7923
(814) 864-3698
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TWP, PA 16066-5213
(412) 968-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415057L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0536450115
MEDICARE PTAN NUMBER
—
05
—
1007285680338
—
PA
01
—
3970250
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419123
MEDICARE RR FLU
PA
Enumeration date
07/29/2006
Last updated
10/15/2025
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