Organization
GIANT EAGLE INC
Active
Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 0075
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1600 W STATE ST, NORTHERN LIGHT SHOPPING CENTER, BADEN, PA 15005-1207
(724) 869-7220
(724) 869-7408
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 967-4775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415028L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680210
—
PA
05
—
2576707
—
OH
01
—
3969877
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419123
RRB
PA
Enumeration date
07/29/2006
Last updated
09/22/2011
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