Organization
NUDAK VENTURES NORTH DAKOTA, LLC
Active
Other names
NuCara Pharmacy #31
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
234 CENTRAL AVE N, VALLEY CITY, ND 58072-2951
(701) 845-2652
(701) 845-1475
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
PHAR841
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140808
PK
—
05
—
21605
—
ND
Enumeration date
07/23/2006
Last updated
08/06/2020
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