Organization
MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS, INC.
Active
Other names
Gundersen Moundview Hospital and Clinics, Inc., MOUNDVIEW MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WITTIG (ADMINISTRATOR)
(608) 339-8318
Entity
Organization
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-8367
(608) 339-8330
Mailing address
402 W LAKE ST, P.O. BOX 40, FRIENDSHIP, WI 53934-9699
(608) 339-8367
(608) 339-8330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
5181-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112711
PK
—
05
—
33121200
—
WI
Enumeration date
06/12/2006
Last updated
07/13/2026
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