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Organization

GIANT EAGLE, INC

Active
Other names
Giant Eagle Pharmacy 0032
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA B. KRASNOW PHARMD (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization

Contact information

Practice address
4810 OLD WILLIAM PENN HWY, EXPORT, PA 15632-9367
(724) 327-5493
(724) 773-0691
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 968-1550
(412) 968-1561

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414993L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039693615009
PACE
PA
05
1007285680190
PA
01
370009607
PAID
PA
01
870021414
RRB
PA
Enumeration date
06/10/2006
Last updated
05/20/2009
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