The Duluth Clinic, Ltd.
Non-Pharmacy Dispensing Site in Duluth, MN. Organization (NPI-2).
NPI number1508293259
StatusActive
Last updated in NPPESSep 26, 2013
Details
- NPI
- 1508293259
- Entity type
- Organization (NPI-2)
- Legal business name
- The Duluth Clinic, Ltd.
- Organization subpart
- Yes
- Enumeration date
- Sep 26, 2013
- Last updated
- Sep 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Other names
- Essentia Health Medication Therapy Management Services (Other Name)
Practice location
1502 London RdSuite 102
Duluth, MN 55812-1788
Phone 218-576-0120 · Fax 218-733-1112
Mailing address
1502 London RdSuite 102
Duluth, MN 55812-1788
Phone 218-576-0120 · Fax 218-733-1112
Authorized official
Sandra H Mastaw
Coordinator Pharmacy Operations
2187864265
Is something wrong?
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