Organization
NUDAK VENTURES, LLC
Active
Organization
NUDAK VENTURES, LLC
Active
Other names
NuCara Pharmacy #17
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
6111 BURNET RD, AUSTIN, TX 78757-3226
(512) 454-9923
(512) 454-9866
Mailing address
6111 BURNET RD, AUSTIN, TX 78757-3226
(512) 454-9923
(512) 454-9866
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
28221
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141583
PK
—
Enumeration date
08/10/2006
Last updated
11/04/2022
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