Organization
GRISTEDES OPERATING CORP
Active
Other names
Gristedes Pharmacy 90
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization
Contact information
Practice address
1100 WILMOT RD, SCARSDALE, NY 10583-6863
(914) 725-4931
(914) 725-4607
Mailing address
1100 WILMOT RD, SCARSDALE, NY 10583-6863
(914) 725-4931
(914) 725-4607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
024303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02050219
—
NY
01
—
3305516
NCPDP
—
Enumeration date
12/27/2005
Last updated
03/07/2023
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