Essentia Health Virginia Pharmacy
LBN: The Duluth Clinic, Ltd
Essentia Health Virginia Pharmacy is an health care organization with primary practice located at 1101 9Th St N Suite A, Virginia MN 55792-2329. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Duluth Clinic, Ltd can be contacted via phone (218) 749-7828, or through Boren, Kevin via phone (218) 786-1009.
Contact Information
Primary practice address
1101 9Th St N Suite A
Virginia MN 55792-2329
Phone: (218) 749-7828
Fax: (218) 749-7962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2045144 | Minnesota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1659486769 |
|---|---|
| LBN Legal business name | The Duluth Clinic, Ltd |
| DBA Doing business as | Essentia Health Virginia Pharmacy |
| Authorized official | Boren, Kevin |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 3rd, 2024 - about 4 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 | 1659486769 | NPPES |
| Minnesota | Other | 24-22688 | NCPDP |
| Minnesota | Other | 573 | NCPDP |
| Minnesota | MEDICAID | 194812100 | NCPDP |
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