Organization
NUDAK VENTURES NORTH DAKOTA LLC
Active
Other names
NuCara Pharmacy #35
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
308 RAILWAY ST, ENDERLIN, ND 58027-1344
(701) 437-2464
(701) 437-2466
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
PHAR828
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151340
PK
—
05
—
21625
—
ND
Enumeration date
08/31/2006
Last updated
08/06/2020
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