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NPI 1568487031

NPI 1568487031 : DUANE READE : PATCHOQUE, NY

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General NPI Number Information
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    NPI Number           |    1568487031
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    Entity Type          |    Organization 
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    Legal Business Name  |    DUANE READE 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    DUANE READE 380 W SUNRISE HWY
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    City                 |    PATCHOQUE
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    State                |    NY
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    Zip                  |    11772
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    Country              |    US
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    Telephone            |    631-654-5041
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    Fax                  |    631-654-8205
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2253 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10116-2253
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR 3RD PARTY DEPT
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    Name                 |     MICHELE  MCFARLANE 
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    Credential           |    
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    Telephone            |    212-356-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    024319
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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