Organization
DUANE READE
Active
Parent organization
WALGREEN BOOTS ALLIANCE INC
Other names
Duane Reade #14423
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
3506 BROADWAY, ASTORIA, NY 11106-1114
(718) 204-5253
(718) 204-0277
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
029296
NY
3336C0003X
Community/Retail Pharmacy
029296
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03079054
—
NY
01
—
3359432
NCDPP
—
Enumeration date
12/18/2008
Last updated
09/28/2024
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