Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy #0012
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE ZMARZLY (PHARMACY MANAGED CARE CREDENTIALING)
(412) 968-1529
Entity
Organization
Contact information
Practice address
1300 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1018
(724) 258-6101
(724) 258-6640
Mailing address
700 CRANBERRY WOODS DR, CRANBERRY TWP, PA 16066-5213
(412) 968-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680303
—
PA
01
—
3973371
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILRAOD FLU GIANT EAGLE PA
PA
Enumeration date
07/29/2006
Last updated
10/15/2025
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