Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE, INC
Other names
Giant Eagle Pharmacy #5811
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANT EAGLE, INC
Authorized official
MS. DEBRA B. KRASNOW PHARMD (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
821 CLEVELAND ST, ELYRIA, OH 44035-4107
(440) 366-1984
(440) 366-9832
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
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2721111
—
OH
01
—
P00419119
MEDICARE RAILROAD FLU
OH
01
—
RIFV93981
MEDICARE MASS FLU
OH
Enumeration date
02/12/2007
Last updated
12/20/2007
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