MEDICARE: DUANE LOGISTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1316733264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUANE LOGISTICS LLC

Provider Business Mailing Address
First Line	:	7707 MERRILL RD UNIT 8664
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32239-7728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2923 CORINTHIAN AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-4401
Country	:	US
Telephone Number	:	904-389-5558
Fax Number	:	904-388-7392

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEVIN DUANE
Credential	:	PHARMD
Telephone Number	:	904-389-7392

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	10/10/2025

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