GUNDERSEN CLINIC LTD NPI 1073526661

NPI Information

GUNDERSEN CLINIC LTD is a clinic pharmacy pharmacy in La Crosse, WI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GUNDERSEN CLINIC LTD NPI is 1073526661. The provider is registered as an organization entity type.
The provider Other Name Is Gundersen Pharmacy - La Crosse Clinic.

The provider's business location address is:

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 775-5595
Fax: (608) 775-4445

The provider's authorized official is Loren Carrell .
The authorized official title is Administrative Director and has the following contact phone number (608) 775-6369.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/18/2024.

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:

Other Identifiers

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

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