Provider Type Icon

GUNDERSEN CLINIC LTD NPI 1245705441


NPI Information

NPI: 1245705441
Provider Name: GUNDERSEN CLINIC LTD

Other Name: GUNDERSEN PHARMACY - VILLAGE SHOPPING CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2511 GREEN BAY ST
LA CROSSE, WI
ZIP 54601
Phone: (608) 775-8585
Get Directions

GUNDERSEN CLINIC LTD is a community/retail pharmacy pharmacy in La Crosse, WI. 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. GUNDERSEN CLINIC LTD NPI is 1245705441. The provider is registered as an organization entity type.
The provider Other Name Is Gundersen Pharmacy - Village Shopping Center.

The provider's business location address is:

2511 GREEN BAY ST
LA CROSSE, WI
ZIP 54601-900
Phone: (608) 775-8585

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 10/4/2018 and was last updated on 4/19/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.