The Duluth Clinic, Ltd
Community/Retail Pharmacy
11134 N State Road 77 Ste A, Hayward
Wisconsin, 54843-5325
715-634-6774 715-634-5517
The Duluth Clinic, Ltd is a Community/Retail Pharmacy in Hayward, Wisconsin. This organization is also known as sub part of St.. Mary's Duluth Clinic Health System. It is located at 11134 N State Road 77 Ste A, Hayward and it's customer support contact number is 715-634-6774. The authorized person of The Duluth Clinic, Ltd is Kevin Boren who is Vp Of Finance of the pharmacy and his contact number is 218-786-1009. Active license number of The Duluth Clinic, Ltd is 7772 for Community/Retail Pharmacy in Wisconsin. The Duluth Clinic, Ltd accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Duluth Clinic, Ltd is 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.
Pharmacy Details:
The Duluth Clinic, Ltd type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | The Duluth Clinic, Ltd |
| Type: | Community/Retail Pharmacy |
| Location: | 11134 N State Road 77 Ste A, Hayward,
Wisconsin, 54843-5325 |
| Phone: | 715-634-6774 |
| Fax: | 715-634-5517 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kevin Boren |
| Position: | Vp Of Finance |
| Contact Number: | 218-786-1009 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386759496 |
| Parent Organization: | St.. Mary's Duluth Clinic Health System |
| NPI Enumeration Date: | 20 Aug, 2006 |
| NPI Last Update On: | 12 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Duluth Clinic, Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 7772 | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 573 | Other | Minnesota | The Duluth Clinic, Ltd Chain Code |
| 33232000 | Medicaid | Wisconsin | |
| 448819900 | Medicaid | Wisconsin | |
| 51-24401 | Other | Minnesota | Ncpdp |
Medicare Enrollment:
The Duluth Clinic, Ltd is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2567374283 | O20151230000109 | The Duluth Clinic Ltd | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11134 N State Road 77 Ste A,
Hayward, Wisconsin |
| Zip: | 54843-5325 |
| Phone Number: | 715-634-6774 |
| Fax Number: | 715-634-5517 |
Patients can reach The Duluth Clinic, Ltd at
11134 N State Road 77 Ste A, Hayward, Wisconsin or can
call on customer care at 715-634-6774.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.