Organization
GUNDERSEN CLINIC LTD
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
Gundersen Specialty Pharmacy-La Crosse Clinic, GUNDERSEN LUTHERAN CLINIC PHARMACY
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
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112770
PK
—
05
—
33096300
—
WI
Enumeration date
10/27/2022
Last updated
07/04/2025
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