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General NPI Number Information
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NPI Number | 1285645416
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Entity Type | Organization
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Legal Business Name | GIANT EAGLE INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | GREEN GARDEN PLAZA
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City | ALIQUIPPA
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State | PA
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Zip | 15001
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Country | US
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Telephone | 724-378-9170
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Fax | 724-375-2361
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Provider Business Mailing Address
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Address Line | 101 KAPPA DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-2809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR MANAGED CARE
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Name | DEBRA KRASNOW
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Credential | PHARMD
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Telephone | 412-968-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP414466L
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License Number State | PA
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