Organization
GRISTEDES OPERATING CORP
Active
Other names
Gristedes Pharmacy 52
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization
Contact information
Practice address
1356 LEXINGTON AVE, NEW YORK, NY 10128
(212) 722-0014
(212) 722-0514
Mailing address
1356 LEXINGTON AVE, NEW YORK, NY 10128
(212) 722-0014
(212) 722-0514
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
024695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05064588
—
NY
01
—
3313385
NCPDP
—
Enumeration date
12/27/2005
Last updated
03/07/2023
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