The Duluth Clinic, Ltd., NPI 1063881399
Community/Retail Pharmacy in Superior, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063881399
NPI Entity Type Organization
Provider Name The Duluth Clinic, Ltd.
Doing Business As
Subpart of Organization Essentia Health Duluth Clinic Health System
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 204 Belknap St Ste 300, Superior, WI, US
Provider Mailing Address 204 Belknap St Ste 300, Superior, WI, US, 548802905
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Sandra H Mastaw
Official Position COORDINATOR PHARMACY OPERATIONS
Phone 218-786-4265

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 9349-42
License State WI
Description 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.

Other Organization Name

Essentia Health Prescription Service Center
Doing Business As

Business Address

The Duluth Clinic, Ltd.
204 Belknap St Ste 300

Superior, WI, US

Phone: 715-817-7146
Fax: 715-817-7144

Mailing Address

The Duluth Clinic, Ltd.
204 Belknap St Ste 300
Superior, WI, US
ZIP 548802905
Phone: 715-817-7146
Fax: 715-817-7144

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

265074 MN No

3336C0003X

Suppliers

Pharmacy

NR-51303 WY No

3336C0003X

Suppliers

Pharmacy

PHAR1317 ND No

3336C0003X

Suppliers

Pharmacy

Y007116 AZ No

3336C0003X

Suppliers

Pharmacy

PH30743 FL No

3336C0003X

Suppliers

Pharmacy

4787 IA No

3336C0003X

Suppliers

Pharmacy

46322MS ID No

3336C0003X

Suppliers

Pharmacy

PH00004437 NM No

3336C0003X

Suppliers

Pharmacy

400-1721 SD No

3336M0002X

Suppliers

Pharmacy

9349-42 WI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1063881399 MN MEDICAID 05
100054637 WI MEDICAID 05

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Organization

Counselor

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MRS. LPC Holly L Doughty

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1063566966

Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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