Gundersen Pharmacy - Prairie Du Chien
LBN: Gundersen Clinic Ltd
Gundersen Pharmacy - Prairie Du Chien is an health care organization with primary practice located at 610 E Taylor St , Prairie Du Chien WI 53821-2109. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Gundersen Clinic Ltd can be contacted via phone (608) 326-8911, or through Carrell, Loren via phone (608) 775-6369.
Contact Information
Primary practice address
610 E Taylor St
Prairie Du Chien WI 53821-2109
Phone: (608) 326-8911
Fax: (608) 326-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 9258-42 | Wisconsin |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1417367277 |
|---|---|
| LBN Legal business name | Gundersen Clinic Ltd |
| DBA Doing business as | Gundersen Pharmacy - Prairie Du Chien |
| Authorized official | Carrell, Loren |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 2nd, 2014 |
| Last updated | Apr 16th, 2024 - about 8 months ago |
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 | 1417367277 | NPPES |
| Other | 2146337 | PK |
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