Organization
GIANT EAGLE INC
Active
Other names
Giant Eagle Pharmacy 6503B
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA B KRASNOW PHARMD (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
55 MEADOW PARK AVE, LEWIS CENTER, OH 43035-9476
(740) 657-1344
Mailing address
101 KAPPA DR, PGH, PA 15238-2809
(412) 968-1550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021232550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870021414
MEDICARE RAILROAD FLU (GE6503B)
OH
Enumeration date
02/19/2009
Last updated
03/05/2009
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