Organization
GIANT EAGLE, INC
Active
Other names
Giant Eagle Pharmacy #2412
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA B KRASNOW PHARMD (DIRECTOR, MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
2001 LINCOLN WAY, WHITE OAK, PA 15131-2419
(412) 673-1870
(412) 673-1874
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 968-1550
(412) 968-1727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680307
—
PA
01
—
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
05/25/2006
Last updated
05/07/2009
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