Essentia Health Prescription Service Center
LBN: The Duluth Clinic, Ltd.
Essentia Health Prescription Service Center is an health care organization with primary practice located at 204 Belknap St Ste 300 , Superior WI 54880-2905. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Duluth Clinic, Ltd. can be contacted via phone (715) 817-7146, or through Boren, Kevin via phone (218) 786-1009.
Contact Information
Primary practice address
204 Belknap St Ste 300
Superior WI 54880-2905
Phone: (715) 817-7146
Fax: (715) 817-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 265074 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9349-42 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR1317 | North Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NR-51303 | Wyoming |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y007116 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH30743 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4787 | Iowa |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 46322MS | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00004437 | New Mexico |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 400-1721 | South Dakota |
| Suppliers / Mail Order Pharmacy | 3336M0002X | 9349-42 | Wisconsin |
Profile Details
| NPI number | 1063881399 |
|---|---|
| LBN Legal business name | The Duluth Clinic, Ltd. |
| DBA Doing business as | Essentia Health Prescription Service Center |
| Authorized official | Boren, Kevin |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Feb 29th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063881399 | NPPES |
| Wisconsin | MEDICAID | 100054637 | |
| Wisconsin | MEDICAID | 1063881399 |
Popular Providers
-
Target Corporation
3535 Tower Ave , Superior WI 54880-5334 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
The Duluth Clinic, Ltd
204 Belknap St Ste 200 , Superior WI 54880-2905 -
Wal-Mart Stores East Lp
3705 Tower Ave , Superior WI 54880-5338 -
Walgreen Co
2015 Tower Ave , Superior WI 54880-2538 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
The Duluth Clinic, Ltd
3500 Tower Ave Suite A, Superior WI 54880-5335 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542