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Organization

GIANT EAGLE INC

Active
Other names
GIANT EAGLE PHARMACY 54
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY ANNE ZMARZLY (MANAGED CARE)
(412) 968-1529
Entity
Organization

Contact information

Practice address
1606 N CENTER AVE, SOMERSET, PA 15501-7039
(814) 443-0544
(814) 445-7125
Mailing address
PO BOX 643559, PITTSBURGH, PA 15264-3559
(412) 968-1529

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415153L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007285680242
PA
01
3971290
OTHER ID NUMBER-COMMERCIAL NUMBER
01
P00419123
MEDICARE RAILROAD FLU GIANT EALGE PA
PA
Enumeration date
08/02/2006
Last updated
08/25/2025
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