Organization
THE DULUTH CLINIC, LTD.
Active
Organization
THE DULUTH CLINIC, LTD.
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEMS
Other names
Essentia Health Medication Therapy Management Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEMS
Authorized official
SANDRA H MASTAW MT BA (COORDINATOR PHARMACY OPERATIONS)
(218) 786-4265
Entity
Organization
Contact information
Practice address
1502 LONDON RD, SUITE 102, DULUTH, MN 55812-1788
(218) 576-0120
(218) 733-1112
Mailing address
1502 LONDON RD, SUITE 102, DULUTH, MN 55812-1788
(218) 576-0120
(218) 733-1112
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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