| NPI | 1306851225 |
|---|---|
| Doing Business As | GIANT EAGLE PHARMACY 204 |
| Entity Type | Organization |
| Authorized Contact | DEBRA KRASNOW Director Managed Care 412-968-1550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 021228300) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-10-27 |