Organization · NPI-2
Duane Reade
Pharmacy · Edgewater, NJ
NPI number1851316319
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1851316319
- Entity type
- Organization (NPI-2)
- Legal business name
- Duane Reade
- Organization subpart
- Yes
- Enumeration date
- Jul 13, 2006
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 28RS00592400 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Duane Reade #14267 (Doing Business As)
Practice location
11 Edgewater Towne CtrEdgewater, NJ 07020
Phone 201-941-2050
Mailing address
1901 E Voorhees StM/S 790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alyssa Sweeten
Manager
2177092386
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