Giant Eagle Pharmacy 2402
LBN: Giant Eagle Inc
Giant Eagle Pharmacy 2402 is an health care organization with primary practice located at 4192 Glades Pike , Somerset PA 15501-8724. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Giant Eagle Inc can be contacted via phone (814) 443-3512, or through Krasnow, Debra via phone (412) 968-1550.
Contact Information
Primary practice address
4192 Glades Pike
Somerset PA 15501-8724
Phone: (814) 443-3512
Fax: (724) 733-0691
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | PP414419L | Pennsylvania |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1063427987 |
---|---|
LBN Legal business name | Giant Eagle Inc |
DBA Doing business as | Giant Eagle Pharmacy 2402 |
Authorized official | Krasnow, Debra PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 29th, 2006 |
Last updated | May 7th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063427987 | NPPES |
Other | 3961869 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 1007285680064 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
Other | 870021414 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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