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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