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Organization

GRISTEDES FOODS INC

Active
Other names
Gristedes Pharmacy #561
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization

Contact information

Practice address
80 W END AVE, NEW YORK, NY 10023-6301
(917) 441-5960
(917) 441-8785
Mailing address
80 W END AVE, NEW YORK, NY 10023-6301
(917) 441-5960
(917) 441-8785

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025552
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02380514
NY
01
3328792
NCPDP
Enumeration date
12/29/2005
Last updated
03/07/2023
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