Organization
DUANE READE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BENEDETTO (ENROLLMENT COORDINATOR)
(212) 356-5227
Entity
Organization
Contact information
Practice address
405 LEXINGTON AVE, NEW YORK, NY 10174-0002
(212) 808-4743
(212) 808-4963
Mailing address
PO BOX 2253, NEW YORK, NY 10116-2253
(212) 356-5227
(212) 244-6499
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI03337200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01543686
—
NY
01
—
3334187
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/23/2011
Last updated
06/23/2011
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