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Organization

DUANE READE

Active
Other names
DUANE READE
Organization subpart
No

Provider details

NPI number
Authorized official
LISA NEMBHARD-PALMER (ENROLLMENT COORDINATOR)
(212) 356-5227
Entity
Organization

Contact information

Practice address
DUANE READE, 4901 BERGENLINE AVE, WEST NEW YORK, NJ 07093
(201) 348-3884
(201) 348-3618
Mailing address
PO BOX 2253, NEW YORK, NY 10116-2253

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
0613200
NJ
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3144386
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8879907
NJ
Enumeration date
07/13/2006
Last updated
01/23/2009
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