Organization
DUANE READE
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
DUANE READE #14403
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
ALYSSA SWEETEN (MANAGER)
(217) 709-2386
Entity
Organization
Contact information
Practice address
619 9TH AVE, NEW YORK, NY 10036-3710
(212) 581-0602
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
028514
NY
3336C0003X
Community/Retail Pharmacy
028514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02915479
—
NY
01
—
3354975
NCPDP
NY
Enumeration date
06/14/2007
Last updated
02/04/2019
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