Organization
NUDAK VENTURES LLC
Active
Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #29
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
110 W MAIN ST, ZEARING, IA 50278-7728
(641) 487-7450
(641) 487-7452
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
1450
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138987
PK
—
Enumeration date
02/15/2013
Last updated
04/21/2017
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