| NPI | 1164433660 |
|---|---|
| Other Name | GUNDERSEN PHARMACY - EAST BUILDING |
| Doing Business As | GUNDERSEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOREN CARRELL Director Of Pharmacy 608-775-6369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 263512) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WI 8317042) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-18 |