Organization
GUNDERSEN CLINIC, LTD.
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
GUNDERSEN PHARMACY, GUNDERSEN PHARMACY - EAST BUILDING
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN CLINIC LTD
Authorized official
TINA LECHNIR (VP CROSS FUNCTION CARE)
(608) 775-2600
Entity
Organization
Contact information
Practice address
724 DENTON ST, LA CROSSE, WI 54601-5447
(608) 775-1000
(608) 775-1010
Mailing address
724 DENTON ST, LA CROSSE, WI 54601-5447
(608) 775-1000
(608) 775-1010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8317042
WI
3336C0002X
Clinic Pharmacy
Primary
263512
MN
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110059
PK
—
05
—
33270300
—
WI
Enumeration date
08/10/2006
Last updated
07/02/2025
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