| NPI | 1174500292 |
|---|---|
| Doing Business As | GRISTGOGS PHARMACY 517 |
| Entity Type | Organization |
| Authorized Contact | BARRY SHERMAN Vice President 917-217-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 024488) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-03-07 |