| NPI | 1871570853 |
|---|---|
| Doing Business As | GRISTEDES PHARMACY # 99 |
| Entity Type | Organization |
| Authorized Contact | BARRY SHERMAN Vice President 917-217-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 024383) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-12-23 |