Essentia Health Specialty Pharmacy

LBN: The Duluth Clinic, Ltd.
Essentia Health Specialty Pharmacy is an health care organization with primary practice located at 204 Belknap St Ste 200 , Superior WI 54880-2905. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. The Duluth Clinic, Ltd. can be contacted via phone (715) 817-7145, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
204 Belknap St Ste 200 Superior WI 54880-2905
Phone: (715) 817-7145
Fax: (715) 817-7144
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9348-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR1337 North Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X 265022 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X 4788 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X 400-1673 South Dakota
Suppliers / Specialty Pharmacy 3336S0011X 9348-42 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1871962282
LBN Legal business name The Duluth Clinic, Ltd.
DBA Doing business as Essentia Health Specialty Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 16th, 2015
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 1871962282 NPPES
Minnesota MEDICAID 1871962282
Minnesota MEDICAID 100051572

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