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Organization

MARYLAND GROCERY STORE COMPANY

Active
Other names
GIANT EAGLE PHARMACY 1842
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CHAPPELL (VP OF PHARMACY)
(412) 963-6200
Entity
Organization

Contact information

Practice address
1305 W 7TH ST, FREDERICK, MD 21702-4102
(301) 631-3828
(440) 826-9107
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TOWNSHIP, PA 16066-5213
(412) 963-6200

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01878
MD
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2126212
OTHER ID NUMBER-COMMERCIAL NUMBER
05
699376100
MD
01
870021414
MEDICARE RAILROAD FLU GIANT EAGLE MARYLAND
MD
Enumeration date
08/11/2006
Last updated
01/20/2026
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