Organization
GIANT EAGLE, INC
Active
Other names
Giant Eagle Pharmacy #1435
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA B. KRASNOW PHARMD (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
7229 SHARON-WARREN ROAD, GIANT EAGLE PHARMACY #1435, BROOKFIELD, OH 44403
(330) 448-6480
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 968-1550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020885700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870021414
MEDICARE RAILROAD FLU (GIANT EAGLE) OH
OH
Enumeration date
12/23/2008
Last updated
12/23/2008
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