Organization
NUDAK VENTURES LLC
Active
Other names
NuCara IV Services
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
105 W MAIN ST STE B, OTTUMWA, IA 52501-2542
(641) 684-4146
(641) 684-5407
Mailing address
105 W MAIN ST, OTTUMWA, IA 52501-2542
(641) 684-4146
(641) 684-5407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
808
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617729
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/25/2006
Last updated
06/12/2019
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