NPI | 1548710627 |
---|---|
Other Name | GUNDERSEN PHARMACY - CASS STREET |
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 (Licence: WI 9419-42) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2016-10-12 |
Last Update Date | 2024-04-19 |