Essentia Health Duluth 3Rd Street Pharmacy

LBN: The Duluth Clinic, Ltd.
Essentia Health Duluth 3Rd Street Pharmacy is an health care organization with primary practice located at 400 E 3Rd St Suite A, Duluth MN 55805-1951. 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) 786-3137, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
400 E 3Rd St Suite A Duluth MN 55805-1951
Phone: (218) 786-3137
Fax: (218) 722-0103
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 261245 Minnesota

Profile Details

NPI number 1518073923
LBN Legal business name The Duluth Clinic, Ltd.
DBA Doing business as Essentia Health Duluth 3Rd Street Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2006
Last updated Feb 28th, 2024 - about 7 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 1518073923 NPPES
Minnesota MEDICAID 510060700
Minnesota Other 573
Minnesota MEDICAID 33109500
Minnesota Other 24-09870

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