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General NPI Number Information
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NPI Number | 1740297761
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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 | 08/02/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 208 GIANT ST
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City | MORGANTOWN
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State | WV
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Zip | 26501-2440
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Country | US
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Telephone | 304-599-2369
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Fax | 304-599-2520
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Provider Business Mailing Address
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Address Line | PO BOX 643559
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City | PITTSBURGH
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State | PA
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Zip | 15264-3559
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Country | US
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Telephone | 412-968-1529
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGED CARE
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Name | KELLY ANNE ZMARZLY
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Credential |
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Telephone | 412-968-1529
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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 | MPO552320
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License Number State | WV
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