Healthcare Provider Details

I. General information

NPI: 1831346287
Provider Name (Legal Business Name): GIANT EAGLE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 QUAKER VILLAGE SHOPPING CTR
LEETSDALE PA
15056
US

IV. Provider business mailing address

101 KAPPA DR
PITTSBURGH PA
15238-2809
US

V. Phone/Fax

Practice location:
  • Phone: 412-259-1021
  • Fax: 412-259-1025
Mailing address:
  • Phone: 412-968-1550
  • Fax: 412-968-1727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481865
License Number StatePA

VIII. Authorized Official

Name: MS. DEBRA B KRASNOW
Title or Position: SENIOR DIRECTOR OF MANAGED CARE
Credential: PHARMD
Phone: 412-968-1550