MEDICARE: GIANT EAGLE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1114816048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIANT EAGLE, INC

Provider Business Mailing Address
First Line	:	PO BOX 643559
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15264-3559
Country	:	US
Telephone Number	:	412-968-1529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 BLAIR ST
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-2445
Country	:	US
Telephone Number	:	814-696-0289
Fax Number	:

Authorized Official
Title or Position	:	MANAGED CARE, PHARMACY COORDINATOR
Name	:	KELLY ANNE ZMARZLY
Credential	:
Telephone Number	:	412-963-6200

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	08/11/2025

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Directions to “GIANT EAGLE, INC ” Practice Location

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