Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy #0023
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J ELMS (INSURANCE CONTRACTING & CREDENTIALI)
(412) 967-4775
Entity
Organization
Contact information
Practice address
100 BUFFALO PLZ, SARVER, PA 16055-8301
(724) 294-2802
(724) 294-2820
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414499L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680098
—
PA
01
—
3975387
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILROAD FLU (GIANT EAGLE) PA
PA
Enumeration date
07/29/2006
Last updated
01/20/2021
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