Organization
GIANT EAGLE INC
Active
Other names
GIANT EAGLE PHARMACY 0082
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KRASNOW (DIRECTOR MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
1050 MT LAUREL PL, RT 30, LATROBE, PA 15650
(724) 537-4995
(724) 537-5197
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414469L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285680079
—
PA
01
—
3962417
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
870021414
RRB
PA
Enumeration date
07/29/2006
Last updated
10/29/2015
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