Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE, INC
Other names
GIANT EAGLE PHARMACY #0199
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
34325 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-3169
(440) 327-8085
(440) 327-8151
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 968-1550
(412) 968-1561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-1636950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2724592
—
OH
01
—
P00419123
MEDICARE RAILROAD FLU (TAMARKIN) OH
OH
Enumeration date
12/13/2006
Last updated
08/25/2021
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