Organization
DUANE READE
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Duane Reade # 14384
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
ALAN T NIELSEN (TREASURER)
(847) 315-3523
Entity
Organization
Contact information
Practice address
4234 BRONX BLVD, BRONX, NY 10466-2611
(718) 231-7301
(718) 231-7303
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
027695
NY
3336C0003X
Community/Retail Pharmacy
027695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02748685
—
NY
01
—
3349772
NCPDP
NY
Enumeration date
07/04/2006
Last updated
09/09/2015
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