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Organization

RISER FOODS COMPANY

Active
Parent organization
GIANT EAGLE INC
Other names
Giant Eagle Pharmacy #4887
Organization subpart
Yes

Provider details

NPI number
Legal business name
GIANT EAGLE INC
Authorized official
MS. DEBRA B. KRASNOW PHARM D (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization

Contact information

Practice address
80 WHITTLESEY AVE, SUITE A, NORWALK, OH 44857-1479
(419) 668-0810
(419) 668-0808
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
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2720363
OH
01
P00419119
MEDICARE RAILROAD
OH
01
RIFV93981
MEDICARE MASS FLU
OH
Enumeration date
01/05/2007
Last updated
12/20/2007
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