| NPI | 1285351429 |
|---|---|
| Doing Business As | GUNDERSEN SPECIALTY PHARMACY-LA CROSSE CLINIC |
| Other Name | GUNDERSEN LUTHERAN CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOREN CARRELL Administrative Director 608-775-6369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |