Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy 2440
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ELMS (INSURANCE CONTRACTING & CREDENTIALI)
(412) 967-4775
Entity
Organization
Contact information
Practice address
700 MORAINE POINTE PLZ, BUTLER, PA 16001-2415
(724) 283-3779
(724) 283-8707
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 967-4775
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414653L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680118
—
PA
01
—
3965122
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
MEDICARE RAILRAOD FLU GIANT EAGLE PA
PA
Enumeration date
08/02/2006
Last updated
12/15/2015
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