# THE DULUTH CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ESSENTIA HEALTH
- **Other names:** Essentia Health Superior East Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477979326
- **Legal business name:** ESSENTIA HEALTH
- **Authorized official:** KEVIN BOREN (VP OF FINANCE)
- **Authorized official phone:** (218) 786-1009

## Contact information

- **Practice address:** 2202 E 2ND ST., SUITE 477, SUPERIOR, WI 54880-5395
- **Practice address phone:** (715) 817-7999
- **Practice address fax:** (715) 392-0215
- **Mailing address:** 2202 E 2ND ST., SUITE 477, SUPERIOR, WI 54880-5395
- **Mailing address phone:** (715) 817-7999
- **Mailing address fax:** (715) 392-0215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9247-42 | WI | Yes |

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 02/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100037008 | — | WI |
| 01 | — | 1477979326 | NPI | — |
| 05 | — | 1477979326 | — | MN |