Gundersen Pharmacy - East Building
LBN: Gundersen Clinic, Ltd.
Gundersen Pharmacy - East Building is an health care organization with primary practice located at 724 Denton St , La Crosse WI 54601-5447. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Gundersen Clinic, Ltd. can be contacted via phone (608) 775-1000, or through Carrell, Loren via phone (608) 775-6369.
Contact Information
Primary practice address
724 Denton St
La Crosse WI 54601-5447
Phone: (608) 775-1000
Fax: (608) 775-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 8317042 | Wisconsin |
| Suppliers / Clinic Pharmacy | 3336C0002X | 263512 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1164433660 |
|---|---|
| LBN Legal business name | Gundersen Clinic, Ltd. |
| DBA Doing business as | Gundersen Pharmacy - East Building |
| Authorized official | Carrell, Loren RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 18th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164433660 | NPPES |
| Wisconsin | MEDICAID | 33270300 | |
| Wisconsin | Other | 2110059 |
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