Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #12
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
500 2ND ST, TRAER, IA 50675-1139
(319) 478-8711
(319) 478-2501
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
467
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180950
—
IA
01
—
2136169
PK
—
Enumeration date
08/10/2006
Last updated
04/11/2017
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