Organization
MARYLAND GROCERY STORE COMPANY
Active
Organization
MARYLAND GROCERY STORE COMPANY
Active
Other names
GIANT EAGLE PHARMACY 1842
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (PHARMACY MANAGED CARE CREDENTIALING)
(412) 968-1529
Entity
Organization
Contact information
Practice address
1305 W 7TH ST, FREDERICK, MD 21702-4102
(301) 631-3828
(440) 826-9107
Mailing address
PO BOX 643559, PITTSBURGH, PA 15264-3559
(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
08/17/2026
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