Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY #0058
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (PHARMACY MANAGED CARE)
(412) 968-1529
Entity
Organization
Contact information
Practice address
208 GIANT ST, MORGANTOWN, WV 26501-2440
(304) 599-2369
(304) 599-2520
Mailing address
PO BOX 643559, PITTSBURGH, PA 15264-3559
(412) 968-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MPO552320
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000006
—
WV
01
—
5054058
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/02/2006
Last updated
08/25/2025
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