| NPI | 1073526661 |
|---|---|
| Other Name | GUNDERSEN PHARMACY - LA CROSSE CLINIC |
| Doing Business As | GUNDERSEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOREN CARRELL Administrative Director 608-775-6369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 263208) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WI 4884) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-04-18 |