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THE DULUTH CLINIC LTD NPI 1467750364


NPI Information

NPI: 1467750364
Provider Name: THE DULUTH CLINIC, LTD

Doing Business As: ESSENTIA HEALTH TWO HARBORS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
802 11TH ST STE C
TWO HARBORS, MN
ZIP 55616
Phone: (218) 834-7202
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THE DULUTH CLINIC, LTD is a community/retail pharmacy pharmacy in Two Harbors, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THE DULUTH CLINIC, LTD NPI is 1467750364. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Two Harbors Pharmacy.

The provider's business location address is:

802 11TH ST STE C
TWO HARBORS, MN
ZIP 55616-413
Phone: (218) 834-7202
Fax: (218) 834-9531

The provider's authorized official is Kevin Boren .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 786-1009.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 2/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy263666MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11467750364MEDICAIDMINNESOTA
2573OTHERMINNESOTATHE DULUTH CLINIC, LTD. CHAIN CODE
324-30697OTHERMINNESOTANCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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