# ESSENTIA HEALTH VIRGINIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
- **Other names:** ESSENTIA HEALTH VIRGINIA HOSPITAL PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740293489
- **Legal business name:** ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
- **Authorized official:** TARA MARIE PARKS PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (218) 749-9414

## Contact information

- **Practice address:** 901 9TH STREET NORTH, VIRGINIA, MN 55792
- **Practice address phone:** (218) 749-9414
- **Practice address fax:** (218) 749-9565
- **Mailing address:** 901 9TH ST N, VIRGINIA, MN 55792-2325
- **Mailing address phone:** (218) 749-9441
- **Mailing address fax:** (218) 749-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 2608921 | MN | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 02/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2412118 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 900019400 | — | MN |