Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE INC
Other names
Giant Eagle Pharmacy #1282
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANT EAGLE INC
Authorized official
DEBORAH J ELMS (INSURANCE CONTRACTING & CREDENTIALI)
(412) 967-4775
Entity
Organization
Contact information
Practice address
8383 TYLER BLVD, MENTOR, OH 44060-4214
(440) 701-1004
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078362
—
OH
01
—
3665671
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00419119
MEDICARE RAILROAD FLU
OH
Enumeration date
07/29/2006
Last updated
05/30/2019
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