Organization
THE TAMARKIN COMPANY
Active
Parent organization
GIANT EAGLE INC
Other names
GIANT EAGLE PHARMACY 4078, Giant Eagle Pharmacy #4078
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
5220 MAHONING AVE, YOUNGSTOWN, OH 44515-1806
(330) 793-9345
(330) 793-8659
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
020554850
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3650339
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
713080
—
OH
01
—
P00419123
MEDICARE RAILROAD FLU TAMARKIN OHIO
OH
Enumeration date
07/29/2006
Last updated
06/17/2020
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