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Organization

GIANT EAGLE INC

Active
Other names
Giant Eagle Pharmacy #0039
Organization subpart
No

Provider details

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

Contact information

Practice address
331 WASHINGTON RD, WASHINGTON, PA 15301-2701
(724) 228-2865
(724) 228-8255
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413904L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007285680227
PA
01
3953569
OTHER ID NUMBER-COMMERCIAL NUMBER
01
870021414
MEDICARE RAILROAD FLU GIANT EAGLE PA
PA
Enumeration date
07/29/2006
Last updated
06/18/2015
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