THE DULUTH CLINIC LTD. NPI 1871962282

NPI Information

  • NPI: 1871962282
  • Provider Name: THE DULUTH CLINIC, LTD.
  • Classification: Pharmacy - 3336S0011X
  • Specialization: Specialty Pharmacy
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH SPECIALTY PHARMACY
  • Address: 204 BELKNAP ST STE 200
    SUPERIOR, WI
    ZIP 54880
  • Phone: (715) 817-7145

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NPI Details

THE DULUTH CLINIC, LTD. is a specialty pharmacy pharmacy in Superior, WI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. THE DULUTH CLINIC, LTD. NPI is 1871962282. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Specialty Pharmacy.

The provider's business location address is:

204 BELKNAP ST STE 200
SUPERIOR, WI
ZIP 54880-905
Phone: (715) 817-7145
Fax: (715) 817-7144

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 9/16/2015 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 Pharmacy4788IOWANo
23336C0003XPharmacyCommunity/Retail Pharmacy400-1673SOUTH DAKOTANo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy9348-42WISCONSINNo
53336C0003XPharmacyCommunity/Retail PharmacyPHAR1337NORTH DAKOTANo
63336C0003XPharmacyCommunity/Retail Pharmacy265022MINNESOTANo
73336S0011XPharmacySpecialty Pharmacy9348-42WISCONSINYes

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
11871962282MEDICAIDMINNESOTA
2100051572MEDICAIDWISCONSIN

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: 11/21/2025

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