Organization
THE DULUTH CLINIC, LTD
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Lakewalk Pharmacy
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
1502 LONDON RD, SUITE 101, DULUTH, MN 55812-1788
(218) 733-1110
(218) 733-1112
Mailing address
1502 LONDON RD, SUITE 101, DULUTH, MN 55812-1788
(218) 786-3563
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263667
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003114539
—
MN
01
—
2430712
NCPDP
MN
01
—
573
THE DULUTH CLINIC, LTD. CHAIN CODE
MN
Enumeration date
03/08/2011
Last updated
02/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us