Pundt, Gary Wayne

Pundt, Gary Wayne is an individual health care provider with primary practice located at 202 N Broadway , Rochester MN 55906-3646. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pundt, Gary Wayne can be contacted via phone (507) 288-6463.

Contact Information

Primary practice address
202 N Broadway Rochester MN 55906-3646
Phone: (507) 288-6463
Fax: (507) 288-2192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 115189-3 Minnesota

Profile Details

NPI number 1689664617
LBN Legal business name Pundt, Gary Wayne
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689664617 NPPES
Minnesota Other 115189-3 MN BOARD OF PHARMACY LIC.

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