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Organization
THE DULUTH CLINIC, LTD.
Active
Organization
THE DULUTH CLINIC, LTD.
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Prescription Service Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
204 BELKNAP ST STE 300, SUPERIOR, WI 54880-2905
(715) 817-7146
(715) 817-7144
Mailing address
204 BELKNAP ST STE 300, SUPERIOR, WI 54880-2905
(715) 817-7146
(715) 817-7144
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
265074
MN
3336C0003X
Community/Retail Pharmacy
400-1721
SD
3336C0003X
Community/Retail Pharmacy
46322MS
ID
3336C0003X
Community/Retail Pharmacy
4787
IA
3336C0003X
Community/Retail Pharmacy
Primary
9349-42
WI
3336C0003X
Community/Retail Pharmacy
NR-51303
WY
3336C0003X
Community/Retail Pharmacy
PH00004437
NM
3336C0003X
Community/Retail Pharmacy
PH30743
FL
3336C0003X
Community/Retail Pharmacy
PHAR1317
ND
3336C0003X
Community/Retail Pharmacy
Y007116
AZ
3336M0002X
Mail Order Pharmacy
9349-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054637
—
WI
05
—
1063881399
—
MN
Enumeration date
09/16/2015
Last updated
02/29/2024
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