Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #27
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (DIRECTOR OF RECEIVABLES)
(641) 366-3440
Entity
Organization
Contact information
Practice address
4927 MAPLE DR, STE. 100, PLEASANT HILL, IA 50327-2030
(515) 264-1503
(515) 265-6124
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
1436
IA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403978
—
IA
01
—
2137747
PK
—
Enumeration date
08/10/2006
Last updated
05/09/2025
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