| NPI | 1497220693 |
|---|---|
| Other Name | GUNDERSEN PHARMACY - SAND LAKE ROAD |
| 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 |