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Organization

GIANT EAGLE INC

Active
Other names
GIANT EAGLE PHARMACY 59
Organization subpart
No

Provider details

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

Contact information

Practice address
130 GREENBAG RD, MORGANTOWN, WV 26501-7155
(304) 292-0385
(304) 292-6081
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MP0552344
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140932000
WV
01
5010260
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/29/2006
Last updated
11/04/2009
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