Gundersen Clinic Ltd, NPI 1548710627
Community/Retail Pharmacy in La Crosse, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1548710627
NPI Entity Type Organization
Provider Name Gundersen Clinic Ltd
Doing Business As
Subpart of Organization Gundersen Clinic Ltd
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 528 Cass St, La Crosse, WI, US
Provider Mailing Address 528 Cass St, La Crosse, WI, US, 546014507
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Loren Carrell
Official Position ADMINISTRATIVE DIRECTOR
Phone 608-775-6369

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 9419-42
License State WI
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Cass St Pharmacy Gundersen Health System
Other Name

Business Address

Gundersen Clinic Ltd
528 Cass St

La Crosse, WI, US

Phone: 608-784-9922
Fax: 608-784-2212

Mailing Address

Gundersen Clinic Ltd
528 Cass St
La Crosse, WI, US
ZIP 546014507
Phone: 608-784-9922
Fax: 608-784-2212

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0002X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1548710627 MN MEDICAID 05
100063781 WI MEDICAID 05
2163891 PK 01

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Fort Healthcare, Inc

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