Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE INC
Other names
Giant Eagle Pharmacy #4087
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
11501 BUCKEYE RD, CLEVELAND, OH 44104-3827
(412) 968-1550
(412) 968-1561
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
02-1643350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2724421
—
OH
01
—
P00419119
RRB
OH
Enumeration date
01/05/2007
Last updated
07/20/2009
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