Organization
NUDAK VENTURES LLC
Active
Other names
NuCara Pharmacy #23
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILLIS (ACQUISITIONS MANAGER)
(515) 280-2927
Entity
Organization
Contact information
Practice address
216 WASHBURNE AVE, PAYNESVILLE, MN 56362-1643
(320) 243-3781
(320) 243-2005
Mailing address
PO BOX 640, CONRAD, IA 50621-0640
(641) 366-3440
(641) 366-3442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263879
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639251424
—
MN
01
—
2134996
PK
—
Enumeration date
10/20/2006
Last updated
06/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up