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Organization
GRISTEDES FOODS INC
Active
Organization
GRISTEDES FOODS INC
Active
Other names
Gristedes Pharmacy 514
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization
Contact information
Practice address
1344 FIRST AVE, NEW YORK, NY 10021-4404
(212) 879-9050
(212) 879-1477
Mailing address
1344 FIRST AVE, NEW YORK, NY 10021-4404
(212) 879-9050
(212) 879-1477
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415878
—
NY
01
—
3318955
NCPDP
—
Enumeration date
12/13/2005
Last updated
03/07/2023
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