Organization
NUDAK VENTURES, LLC
Active
Other names
NuCara Pharmacy Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISTIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
101 W VALLETTE ST, STE 140, ELMHURST, IL 60126-4419
(630) 834-9768
(630) 834-6643
Mailing address
101 W VALLETTE ST, STE 140, ELMHURST, IL 60126-4419
(630) 834-9768
(630) 834-6643
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
054.018038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147106
PK
—
Enumeration date
11/14/2007
Last updated
03/29/2016
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