Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Compounding Pharmacy
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 A, OTTUMWA, IA 52501-2542
(641) 683-8168
(515) 684-5407
Mailing address
105 W MAIN ST, OTTUMWA, IA 52501-2542
(641) 683-8168
(515) 684-5407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
1057
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619595
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/02/2007
Last updated
06/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us