Essentia Health Two Harbors Pharmacy

LBN: The Duluth Clinic, Ltd
Essentia Health Two Harbors Pharmacy is an health care organization with primary practice located at 802 11Th St Ste C , Two Harbors MN 55616-1413. 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 (218) 834-7202, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
802 11Th St Ste C Two Harbors MN 55616-1413
Phone: (218) 834-7202
Fax: (218) 834-9531
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 263666 Minnesota

Profile Details

NPI number 1467750364
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as Essentia Health Two Harbors Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2011
Last updated Feb 29th, 2024 - about last year

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 1467750364 NPPES
Minnesota MEDICAID 1467750364
Minnesota Other 573
Minnesota Other 24-30697

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