| NPI | 1255318374 |
|---|---|
| Doing Business As | GRISTEDES PHARMACY #561 |
| Entity Type | Organization |
| Authorized Contact | BARRY SHERMAN Vice President 917-217-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 025552) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-03-07 |