Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY #0015
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW PHARMD (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1701 LINCOLN HWY, ROUTE 30, NORTH VERSAILLES, PA 15137-2550
(412) 824-3221
(412) 825-4615
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 967-4775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413653L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680314
—
PA
01
—
3949027
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
RRB
PA
Enumeration date
07/29/2006
Last updated
12/04/2013
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