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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