Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 2415
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1521 N MAIN STREET EXT, BUTLER, PA 16001-1542
(724) 282-9160
(724) 282-1648
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP413937L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680333
—
PA
01
—
3961720
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
07/29/2006
Last updated
03/31/2016
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