Nucara Pharmacy #10

LBN: Nudak Ventures, Llc
Nucara Pharmacy #10 is an health care organization with primary practice located at 621 Broad St , Story City IA 50248-1200. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nudak Ventures, Llc can be contacted via phone (515) 733-2233, or through Wegmann, Brian via phone (641) 366-3440.

Contact Information

Primary practice address
621 Broad St Story City IA 50248-1200
Fax: (515) 733-2366
Website:
Authorized official contact:
Name: Wegmann, Brian

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 78 Iowa

Profile Details

NPI number 1124039763
LBN Legal business name Nudak Ventures, Llc
DBA Doing business as Nucara Pharmacy #10
Authorized official Wegmann, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Nov 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124039763 NPPES
Other 1609847 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0181230 NCPDP PROVIDER IDENTIFICATION NUMBER

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