Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #40
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
118 W CENTER ST, MONONA, IA 52159-8224
(563) 539-2348
(563) 539-4385
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
302
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714446
—
IA
Enumeration date
12/19/2006
Last updated
12/08/2021
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