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Organization

RISER FOODS COMPANY

Active
Parent organization
GIANT EAGLE INC
Other names
GIANT EAGLE PHARMACY 1216
Organization subpart
Yes

Provider details

NPI number
Legal business name
GIANT EAGLE INC
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization

Contact information

Practice address
30275 DETROIT RD, WESTLAKE, OH 44145-1948
(440) 871-5710
(440) 871-8014
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021212400
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2210048
OH
01
3668401
OTHER ID NUMBER-COMMERCIAL NUMBER
01
P00419119
RRB
OH
Enumeration date
07/29/2006
Last updated
05/20/2009
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