Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 4008
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
223 GROVE CITY RD, SLIPPERY ROCK, PA 16057-8532
(724) 794-0100
(724) 794-1046
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680136
—
PA
01
—
3977038
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILROAD FLU (GIANT EAGLE) PA
PA
Enumeration date
07/29/2006
Last updated
10/27/2008
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