Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE INC
Other names
Giant Eagle Pharmacy #5830
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
24601 CHAGRIN BLVD, BEACHWOOD, OH 44122-5609
(216) 831-8080
(216) 831-5330
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
02-1643600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2720407
—
OH
01
—
P00419119
MEDICARE RAILROAD FLU RISER OHIO
OH
Enumeration date
02/12/2007
Last updated
08/28/2020
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