Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #24
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
421 E MERLE HIBBS BLVD, MARSHALLTOWN, IA 50158-4443
(641) 752-4115
(641) 752-4220
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
1405
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134306
PK
—
Enumeration date
03/21/2012
Last updated
06/26/2023
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