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General NPI Number Information
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NPI Number | 1952584245
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Entity Type | Organization
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Legal Business Name | DUANE READE PHARMACY
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 280 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10007-1868
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Country | US
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Telephone | 212-233-3068
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Fax |
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Provider Business Mailing Address
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Address Line | 280 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10007-1868
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Country | US
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Telephone | 212-233-2743
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. ANNA M LIU
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Credential | RHP
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Telephone | 212-233-2743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 048017
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License Number State | NY
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