JUSTIN DAVID SKLUZACEK (NPI# 1073077061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073077061 |
Entity Type | Individual |
Full Name | JUSTIN DAVID SKLUZACEK |
Credential | PHARMD |
Practice Address |
202 N Central Ave Duluth MN 55807-2463 |
Practice Telephone | 2186245773 |
Practice Fax Number | 2186244947 |
Mailing Telephone | 2186245773 |
Mailing Fax Number | 2186244947 |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-01-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 121827 | MN | Pharmacy Service Providers |
Street Address |
202 N CENTRAL AVE |
City | DULUTH |
State | MN |
Zip Code | 55807-2463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104266345 | Rebecca Wright | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2013-07-02 |
1861045940 | Michael Kapsner | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2019-07-18 |
1982024865 | Michelle Nemec | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2014-04-18 |
1114369774 | Grace Armbruster | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2013-07-24 |
1982925970 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 202 N Central Ave, Duluth, MN 55807-2463 | 2010-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
Find all providers in zip 55807 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801364062 | Dongwoo Shin | Pharmacist | 3607 Gainesway Ct, Duluth, GA 30096-1738 | 2018-11-06 |
1174091359 | Naeunnansae Lim | Pharmacist | 2370 Main St Nw Apt 5301, Duluth, GA 30097-2876 | 2018-11-06 |
1851818579 | Ji A Kim | Pharmacist | 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 | 2017-08-23 |
1821442153 | Lyhka5 LLC | Pharmacist | 4470 Satellite Blvd Ste 108, Duluth, GA 30096-8852 | 2016-04-22 |
1932517257 | Ja Young Kongkim | Pharmacist | 4195 Pleasant Hill Rd, Suite D, Duluth, GA 30096-6343 | 2014-07-30 |
1316362213 | Darshini Jani | Pharmacist | 3463 Palisade Park Ct, Duluth, GA 30096-6698 | 2014-02-28 |
1104266345 | Rebecca Wright | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2013-07-02 |
1538419767 | Kyle Robert Rizzi | Pharmacist | 231 E 14th St, Duluth, MN 55811-3767 | 2012-09-14 |
1366701930 | Laura Jean Gauger | Pharmacist | 1321 E 1st St, # 201, Duluth, MN 55805-2453 | 2012-05-16 |
1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
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.