NPI | 1245705441 |
---|---|
Other Name | GUNDERSEN PHARMACY - VILLAGE SHOPPING CENTER |
Doing Business As | GUNDERSEN PHARMACY |
Entity Type | Organization |
Authorized Contact | LOREN CARRELL Administrative Director 608-775-6369 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-04-19 |