Organization
ESSENTIA HEALTH VIRGINIA LLC
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
ESSENTIA HEALTH VIRGINIA HOSPITAL PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
TARA MARIE PARKS PHARMD (PHARMACY MANAGER)
(218) 749-9414
Entity
Organization
Contact information
Practice address
901 9TH STREET NORTH, VIRGINIA, MN 55792
(218) 749-9414
(218) 749-9565
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9441
(218) 749-9565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2608921
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2412118
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
900019400
—
MN
Enumeration date
08/14/2006
Last updated
02/23/2017
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