Organization · Type 2 NPI

Gundersen Clinic Ltd

Long Term Care Pharmacy · La Crosse, WI

NPI number 1699225474 Active

Practice location

505 King St Ste 154
La Crosse, WI 54601-4062

Fax (608) 782-4449

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	9420-42 (WI)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Kcje Ford IncLong Term Care Pharmacy La Crosse, WI NPI 1679801807

Other long term care pharmacy providers in La Crosse

See all in La Crosse →

NPI record

NPI: 1699225474
Entity type: Organization (Type 2)
Issued: Oct 5, 2016
Last updated: Jul 4, 2025
Status: Active
Subpart: Yes of Gundersen Clinic Ltd

Other names

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Gundersen Long Term Care Pharmacy · doing business as
Medpak Pharmacy Gundersen Health System · other name

Authorized official

Tina Lechnir
VP Cross-Functional Care
(608) 775-2600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699225474

Gundersen Clinic Ltd's National Provider Identifier is 1699225474, issued on Oct 5, 2016. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in La Crosse, WI. The record was last updated on Jul 4, 2025.