Essentia Health Superior East Pharmacy

LBN: The Duluth Clinic, Ltd.
Essentia Health Superior East Pharmacy is an health care organization with primary practice located at 2202 E 2Nd St. Suite 477, Superior WI 54880-5395. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. The Duluth Clinic, Ltd. can be contacted via phone (715) 817-7999, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
2202 E 2Nd St. Suite 477 Superior WI 54880-5395
Phone: (715) 817-7999
Fax: (715) 392-0215
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9247-42 Wisconsin

Profile Details

NPI number 1477979326
LBN Legal business name The Duluth Clinic, Ltd.
DBA Doing business as Essentia Health Superior East Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 14th, 2014
Last updated Feb 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477979326 NPPES
Other 1477979326 NPI
MEDICAID 100037008 NPI
MEDICAID 1477979326 NPI

Popular Providers