Organization
NUDAK VENTURES NORTH DAKOTA, LLC
Active
Other names
NuCara Pharmacy #43
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
1102 CENTRAL AVE, WALHALLA, ND 58282-4017
(701) 549-2661
(701) 549-2664
Mailing address
PO BOX 640, CONRAD, IA 50621-0640
(641) 366-3440
(641) 366-3442
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
88
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3503617
NCPDP NUMBER
ND
Enumeration date
09/07/2006
Last updated
12/06/2021
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