| NPI | 1699225474 |
|---|---|
| Doing Business As | GUNDERSEN LONG TERM CARE PHARMACY |
| Other Name | MEDPAK PHARMACY GUNDERSEN HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | LOREN CARRELL Administrative Director 608-775-6369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9420-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-11-08 |