Essentia Health Virginia Pharmacy

LBN: The Duluth Clinic, Ltd
Essentia Health Virginia Pharmacy is an health care organization with primary practice located at 1101 9Th St N Suite A, Virginia MN 55792-2329. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Duluth Clinic, Ltd can be contacted via phone (218) 749-7828, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
1101 9Th St N Suite A Virginia MN 55792-2329
Phone: (218) 749-7828
Fax: (218) 749-7962
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2045144 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1659486769
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as Essentia Health Virginia Pharmacy
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659486769 NPPES
Minnesota Other 24-22688 NCPDP
Minnesota Other 573 NCPDP
Minnesota MEDICAID 194812100 NCPDP

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