Organization
DUANE READE
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Duane Reade #14415
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
1235 LEXINGTON AVE, NEW YORK, NY 10028-1408
(212) 570-2170
(212) 570-1036
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
029238
NY
3336C0003X
Community/Retail Pharmacy
029238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03074499
—
NY
01
—
3359038
NCPDP
—
Enumeration date
11/05/2008
Last updated
01/26/2026
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