Organization
GRISTEDES FOODS INC
Active
Other names
Gristedes Pharmacy 514
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SHERMAN (VICE PRESIDENT)
(917) 217-2789
Entity
Organization
Contact information
Practice address
1344 FIRST AVE, NEW YORK, NY 10021-4404
(212) 879-9050
(212) 879-1477
Mailing address
1344 FIRST AVE, NEW YORK, NY 10021-4404
(212) 879-9050
(212) 879-1477
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415878
—
NY
01
—
3318955
NCPDP
—
Enumeration date
12/13/2005
Last updated
03/07/2023
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