Essentia Health Superior Pharmacy

LBN: The Duluth Clinic, Ltd
Essentia Health Superior Pharmacy is an health care organization with primary practice located at 3500 Tower Ave Suite A, Superior WI 54880-5335. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. The Duluth Clinic, Ltd can be contacted via phone (715) 817-7880, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
3500 Tower Ave Suite A Superior WI 54880-5335
Phone: (715) 817-7880
Fax: (715) 395-3178
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7837 Wisconsin

Profile Details

NPI number 1154437564
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as Essentia Health Superior Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154437564 NPPES
Minnesota MEDICAID 2777758400
Minnesota Other 51-18662
Minnesota MEDICAID 33072400
Minnesota Other 573

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