Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy #0094
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW PHARMD (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
GREEN GARDEN PLAZA, ALIQUIPPA, PA 15001
(724) 378-9170
(724) 375-2361
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414466L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680068
—
PA
01
—
3962455
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
08/11/2006
Last updated
09/18/2014
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