Organization
THE TAMARKIN COMPANY
Active
Parent organization
GIANT EAGLE, INC
Other names
Giant Eagle Pharmacy #4093
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANT EAGLE, INC
Authorized official
DEBORAH J ELMS (INSURANCE CONTRACTING & CREDENTIALI)
(412) 967-4775
Entity
Organization
Contact information
Practice address
2501 W 12TH ST, ERIE, PA 16505-4527
(814) 838-7710
Mailing address
101 KAPPA DR, PHARMACY SERVICES, PITTSBURGH, PA 15238-2809
(412) 968-1550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414592L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007764670013
—
PA
05
—
2586554
—
PA
01
—
3964029
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419123
MEDICARE RAILROAD FLU TAMARKIN PA
PA
Enumeration date
07/29/2006
Last updated
06/17/2020
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