THE DULUTH CLINIC, LTD (NPI# 1003114539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003114539 |
Entity Type | Organization |
Organization Name | THE DULUTH CLINIC, LTD |
Other Organization Name | ESSENTIA HEALTH LAKEWALK PHARMACY |
Practice Address |
1502 London Rd Suite 101 Duluth MN 55812-1788 |
Practice Telephone | 2187331110 |
Practice Fax Number | 2187331112 |
Mailing Telephone | 2187863563 |
Enumeration Date | 2011-03-08 |
Last Update Date | 2014-12-11 |
Authorized Official Name | SANDRA H MASTAW (COORDINATOR PHARMACY OPERATONS) |
Authorized Official Telephone | 2187864265 |
Is Organization Subpart | Y |
Parent Organization Name | ST. MARY'S DULUTH CLINIC HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
263667 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1003114539 | 05 | |
MN | NCPDP | 2430712 | 01 |
MN | THE DULUTH CLINIC, LTD. CHAIN CODE | 573 | 01 |
Other Name | Type Code |
---|---|
Essentia Health Lakewalk Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467750364 | The Duluth Clinic, Ltd | Pharmacy | 802 11th St Ste C, Two Harbors, MN 55616-1413 | 2011-03-02 |
1881633238 | The Duluth Clinic, Ltd | Clinic/Center | N10504 Grandview Ln, Ironwood, MI 49938-9621 | 2006-06-04 |
1356389316 | The Duluth Clinic, Ltd | Clinic/Center | 400 Nw 1st Street, Chisholm, MN 55719-1706 | 2006-06-03 |
1780621508 | The Duluth Clinic, Ltd | Clinic/Center | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-06-01 |
1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
1235176058 | The Duluth Clinic, Ltd | Clinic/Center | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-06-01 |
1538506894 | The Duluth Clinic, Ltd | Clinic/Center | 901 9th St N, Virginia, MN 55792-2325 | 2013-05-28 |
1437457330 | The Duluth Clinic, Ltd | Pharmacy | 99 Edison Blvd, Suite L, Silver Bay, MN 55614-1211 | 2011-03-02 |
1902103831 | The Duluth Clinic, Ltd | Clinic/Center | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2011-02-11 |
1275839193 | The Duluth Clinic, Ltd | Clinic/Center | 1502 London Rd, Ste 102, Duluth, MN 55812-1788 | 2011-02-10 |
Street Address |
1502 LONDON RD SUITE 101 |
City | DULUTH |
State | MN |
Zip Code | 55812-1788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
1710399381 | Margaret Christine Perko | Family Medicine | 1502 London Rd, Duluth, MN 55812-1788 | 2014-05-29 |
1508293259 | The Duluth Clinic, Ltd. | Non-Pharmacy Dispensing Site | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2013-09-26 |
1275839193 | The Duluth Clinic, Ltd | Clinic/Center | 1502 London Rd, Ste 102, Duluth, MN 55812-1788 | 2011-02-10 |
1447581137 | Creative Health, LLC | Clinic/Center | 1502 London Rd, Suite 100, Duluth, MN 55812-1788 | 2010-01-20 |
1275763971 | Joan H Olson | Pharmacy Technician | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2009-07-16 |
1548499296 | Sarah Kathryne Schweiss | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2009-07-02 |
1720275456 | Danielle Amber Macdonald | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2007-09-26 |
1871635706 | Firstsolutions | Clinical Medical Laboratory | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2007-02-14 |
1962507806 | Jayson A Yapel | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2006-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
Find all providers in zip 55812 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043782998 | Anchor Plus Rx, LLC | Pharmacy | 3800 Pleasant Hill Rd Ste 2, Duluth, GA 30096-1428 | 2018-12-17 |
1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
1073917449 | Suju Enterprise Inc | Pharmacy | 4195 Pleasant Hill Rd.suite D, Duluth, GA 30096 | 2014-10-14 |
1285050823 | Duluth Pharmacy LLC | Pharmacy | 3890 Pleasant Hill Rd Ste 103, Duluth, GA 30096-4807 | 2014-03-06 |
1326383498 | Corner Pharmacy Inc | Pharmacy | 2550 Pleasant Hill Rd Ste 120, Duluth, GA 30096-9278 | 2012-11-30 |
1265627681 | Falks Woodland Pharmacy Inc | Pharmacy | 1600 Woodland Ave, Duluth, MN 55803-2628 | 2007-09-10 |
1063627271 | Prescription Specialties | Pharmacy | 1601 London Rd, Duluth, MN 55812-1620 | 2007-05-11 |
1205978996 | Bingamite | Pharmacy | 113 N 2nd Ave W, Duluth, MN 55802-1911 | 2007-02-12 |
1215019005 | Duluth Rexall Pharmacy Inc | Pharmacy | 3165 Buford Hwy, Duluth, GA 30096-3351 | 2006-10-20 |
1982707733 | Georgia Cvs Pharmacy LLC | Pharmacy | 4110 Pleasant Hill Rd, Duluth, GA 30096-4853 | 2006-09-07 |
Find all providers in DULUTH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.