Organization
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Active
Other names
Gundersen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WOLFE (FINANCE ADMINISTRATOR)
(651) 565-5553
Entity
Organization
Contact information
Practice address
1200 GRANT BLVD W STE 101, WABASHA, MN 55981-1042
(651) 565-5527
Mailing address
1200 GRANT BLVD W STE 101, WABASHA, MN 55981-1042
(651) 565-5527
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140927
PK
—
Enumeration date
10/04/2013
Last updated
03/05/2025
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