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Organization
GUNDERSEN CLINIC LTD
Active
Organization
GUNDERSEN CLINIC LTD
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
Gundersen Pharmacy, Gundersen Pharmacy - Cass Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN CLINIC LTD
Authorized official
TINA LECHNIR (VP CROSS-FUNCTIONAL CARE)
(608) 775-2600
Entity
Organization
Contact information
Practice address
528 CASS ST, LA CROSSE, WI 54601-4507
(608) 784-9922
(608) 784-2212
Mailing address
528 CASS ST, LA CROSSE, WI 54601-4507
(608) 784-9922
(608) 784-2212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9419-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063781
—
WI
05
—
1548710627
—
MN
01
—
2163891
PK
—
Enumeration date
10/12/2016
Last updated
07/04/2025
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