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Organization
GRISTEDES FOODS INC
Active
Organization
GRISTEDES FOODS INC
Active
Other names
Gristedes Pharmacy 555
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization
Contact information
Practice address
549 3RD AVE, NEW YORK, NY 10016-3501
(212) 679-4000
(212) 679-4212
Mailing address
549 3RD AVE, NEW YORK, NY 10016
(212) 679-4000
(212) 679-4212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02380472
—
NY
01
—
3327156
NCPDP
—
01
—
BG7970886
DGA
—
Enumeration date
12/27/2005
Last updated
08/22/2020
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