Gundersen Pharmacy - Tomah Clinic

LBN: Gundersen Clinic Ltd
Gundersen Pharmacy - Tomah Clinic is an health care organization with primary practice located at 505 Gopher Dr Ste A , Tomah WI 54660-4513. 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) 782-7300, or through Carrell, Loren via phone (608) 775-6369.

Contact Information

Primary practice address
505 Gopher Dr Ste A Tomah WI 54660-4513
Phone: (608) 782-7300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrell, Loren RPH
Phone: (608) 775-6369

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1952967358
LBN Legal business name Gundersen Clinic Ltd
DBA Doing business as Gundersen Pharmacy - Tomah Clinic
Authorized official Carrell, Loren RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date May 13th, 2019
Last updated Nov 8th, 2020 - about 5 years 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.

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