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ST. ELIZABETH'S OUTPATIENT PHARMACY NPI 1912334913


NPI Information

NPI: 1912334913
Provider Name: ST. ELIZABETH'S OUTPATIENT PHARMACY

Doing Business As: GUNDERSEN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 24D0683641

Address:
1200 GRANT BLVD W
WABASHA, MN
ZIP 55981
Phone: (651) 565-5527
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ST. ELIZABETH'S OUTPATIENT PHARMACY is a community/retail pharmacy pharmacy in Wabasha, MN. The provider 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. ST. ELIZABETH'S OUTPATIENT PHARMACY NPI is 1912334913. The provider is registered as an organization entity type.
The provider Is Doing Business As Gundersen Pharmacy.

The provider's business location address is:

1200 GRANT BLVD W
WABASHA, MN
ZIP 55981-042
Phone: (651) 565-5527

The provider's authorized official is Kurt Henn .
The authorized official title is Director Of Pharmacy and has the following contact phone number (651) 565-5527.

The CLIA number assigned to this NPI record is 24D0683641 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 3/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy264231MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12140927OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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