Healthcare Provider Details

I. General information

NPI: 1316733264
Provider Name (Legal Business Name): DUANE LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2923 CORINTHIAN AVE
JACKSONVILLE FL
32210-4401
US

IV. Provider business mailing address

7707 MERRILL RD UNIT 8664
JACKSONVILLE FL
32239-7728
US

V. Phone/Fax

Practice location:
  • Phone: 904-389-5558
  • Fax: 904-388-7392
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN DUANE
Title or Position: OWNER
Credential: PHARMD
Phone: 904-389-7392