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General NPI Number Information
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NPI Number | 1750398772
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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 | 1606 N CENTER AVE
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City | SOMERSET
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State | PA
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Zip | 15501-7039
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Country | US
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Telephone | 814-443-0544
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Fax | 814-445-7125
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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 | 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP415153L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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