Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #9
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
1002 6TH ST, NEVADA, IA 50201-1826
(515) 382-2485
(515) 382-3473
Mailing address
PO BOX 640, CONRAD, IA 50621-0640
(641) 366-3440
(641) 366-3442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
482
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181032
—
IA
01
—
2136153
PK
—
Enumeration date
08/10/2006
Last updated
05/06/2025
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