Organization
NAMDOR INC.
Active
Other names
Gristedes Pharmacy #544
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE FLORES (VICE PRESIDENT)
(212) 373-8440
Entity
Organization
Contact information
Practice address
101 CLARK ST, BROOKLYN, NY 11201-2746
(718) 834-9003
(718) 222-5856
Mailing address
101 CLARK ST, BROOKLYN, NY 11201-2746
(718) 834-9003
(718) 222-5856
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
024200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01907708
—
NY
01
—
3302940
NCPDP
—
Enumeration date
12/29/2005
Last updated
03/07/2023
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