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NPI Code Detail

MEDICARE: GIANT EAGLE INC

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
1333600000XPharmacyPP411329LPA
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13947225OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3870021414OTHERPARRB

General Provider Information

NPI Number : 1457366379
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIANT EAGLE INC
Provider Business Mailing Address
First Line : 101 KAPPA DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-2809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 FREEPORT RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-3100
Country : US
Telephone Number : 412-781-1600
Fax Number : 412-781-6004
Authorized Official
Title or Position : DIRECTOR MANAGED CARE
Name : DEBRA KRASNOW
Credential :
Telephone Number : 412-968-1550
Provider Enumeration Date : 07/29/2006
Last Update Date : 05/19/2009

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Directions to “GIANT EAGLE INC ” Practice Location

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