Organization
NUDAK VENTURES NORTH DAKOTA LLC
Active
Organization
NUDAK VENTURES NORTH DAKOTA LLC
Active
Other names
NuCara Pharmacy #34
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
407 MAIN ST, LISBON, ND 58054-4143
(701) 683-5282
(701) 683-5218
Mailing address
PO BOX 640, CONRAD, IA 50621-0640
(641) 366-3440
(641) 366-3442
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR829
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151341
PK
—
05
—
21624
—
ND
Enumeration date
09/06/2006
Last updated
08/06/2020
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