Organization
DUANE READE INC
Active
Parent organization
WALGREEN CO
Other names
DUANE READE #14492
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KERMIT R CRAWFORD (PRESIDENT)
(847) 315-3154
Entity
Organization
Contact information
Practice address
1646 2ND AVENUE, NEW YORK, NY 10028-3004
(212) 427-6940
(212) 831-5694
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
023437
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01775557
—
NY
01
—
3324263
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/14/2006
Last updated
01/17/2013
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