Organization
RISER FOODS COMAPNY
Active
Parent organization
GIANT EAGLE INC
Other names
GIANT EAGLE PHARMACY #4086
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANT EAGLE INC
Authorized official
JAMES TSIPAKIS (PRESIDENT OF PHARMACY)
(412) 963-6200
Entity
Organization
Contact information
Practice address
15919 PEARL RD, STRONGSVILLE, OH 44136-6031
(440) 238-4111
(440) 238-4225
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TOWNSHIP, PA 16066-5213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022321100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078406
—
OH
01
—
3665253
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419119
MEDICARE RAILROAD FLU
OH
Enumeration date
07/29/2006
Last updated
11/26/2024
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