Essentia Health Hayward Pharmacy

LBN: The Duluth Clinic, Ltd
Essentia Health Hayward Pharmacy is an health care organization with primary practice located at 11134 N Hwy 77 Suite A, Hayward WI 54843-5325. 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) 634-6774, or through Mastaw, Sandra H via phone (218) 786-4265.

Contact Information

Primary practice address
11134 N Hwy 77 Suite A Hayward WI 54843-5325
Phone: (715) 634-6774
Fax: (715) 634-5517
Website:
Map and Directions
Authorized official contact:
Name: Mastaw, Sandra H
Phone: (218) 786-4265

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7772 Wisconsin

Profile Details

NPI number 1386759496
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as Essentia Health Hayward Pharmacy
Authorized official Mastaw, Sandra H
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2006
Last updated Dec 11th, 2014 - about 10 years 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 1386759496 NPPES
Wisconsin MEDICAID 448819900
Wisconsin Other 573
Wisconsin MEDICAID 33232000
Wisconsin Other 51-24401

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