Gundersen Clinic LTD
Organization Active NPI Pharmacy · Prairie Du Chien, WI
NPI 1417367277 · NPPES record last updated Jul 4, 2025
Key facts
- NPI
- 1417367277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 9258-42 (WI)
- Legal business name
- GUNDERSEN CLINIC LTD
- Practice address
- 610 E Taylor St
Prairie Du Chien, WI 53821-2109 - Phone
- (608) 326-8911
- Fax
- (608) 326-3324
- NPI assigned
- May 2, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- GUNDERSEN CLINIC LTD
Authorized official
- Name
- Tina Lechnir
- Title
- VP Cross-Functional Care
- Phone
- (608) 775-2600
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- La Liberte-Gundersen VI
- Part of
- La Liberte-Gundersen VI
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 9258-42 | WI | Yes |
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
610 E Taylor St
Prairie Du Chien, WI 53821-2109
Mailing address
610 E Taylor St
Prairie Du Chien, WI 53821-2109
Phone (608) 326-8911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146337 | Other | PK |
Other names
- Gundersen Pharmacy
- Gundersen Pharmacy - Prairie du Chien
Other providers in Prairie Du Chien, WI
- Great River Community Medical Center, SC
- Great River Community Medical Clinic SC
- Erin M Greenya
- Ann L Grunwald
- Mark A Grunwald
- Gundersen Clinic, LTD.
- Gundersen Clinic, LTD.
- Gundersen Clinic, LTD.
- Gundersen Lutheran Medical Center Inc
- Kaitlin Halverson
All providers in Prairie Du Chien, WI · Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.