The Duluth Clinic, Ltd., NPI 1063881399
Community/Retail Pharmacy in Superior, WI, US
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 |
Organization Official
| Official Name | Sandra H Mastaw |
| Official Position | COORDINATOR PHARMACY OPERATIONS |
| Phone | 218-786-4265 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Retail Pharmacy |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 265074 | MN | No | |||
| NR-51303 | WY | No | |||
| PHAR1317 | ND | No | |||
| Y007116 | AZ | No | |||
| PH30743 | FL | No | |||
| 4787 | IA | No | |||
| 46322MS | ID | No | |||
| PH00004437 | NM | No | |||
| 400-1721 | SD | No | |||
| 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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