Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy #0025
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (SENIOR DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1029 W VIEW PARK DR, PITTSBURGH, PA 15229
(412) 931-0393
(412) 931-2534
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412567L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680164
—
PA
01
—
3943001
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
08/11/2006
Last updated
07/23/2018
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