Nucara Pharmacy #44

LBN: Nudak Ventures, Llc
Nucara Pharmacy #44 is an health care organization with primary practice located at 621 G Ave , Grundy Center IA 50638-1549. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nudak Ventures, Llc can be contacted via phone (319) 824-5446, or through Willis, Lori via phone (641) 366-3440.

Contact Information

Primary practice address
621 G Ave Grundy Center IA 50638-1549
Phone: (319) 824-5446
Fax: (319) 824-5874
Website:
Map and Directions
Authorized official contact:
Name: Willis, Lori
Phone: (641) 366-3440

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 834 Iowa
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164516027
LBN Legal business name Nudak Ventures, Llc
DBA Doing business as Nucara Pharmacy #44
Authorized official Willis, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 9th, 2022 - about 2 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 1164516027 NPPES
Iowa MEDICAID 0133140

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