Nucara Pharmacy #20

LBN: Nudak Ventures Llc
Nucara Pharmacy #20 is an health care organization with primary practice located at 119 N Vine St , West Union IA 52175-1346. 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 (563) 422-3151, or through Willis, Lori via phone (641) 366-3440.

Contact Information

Primary practice address
119 N Vine St West Union IA 52175-1346
Phone: (563) 422-3151
Fax: (563) 422-9333
Website:
Map and Directions
Authorized official contact:
Name: Willis, Lori
Phone: (641) 366-3440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 219 Iowa

Profile Details

NPI number 1174682561
LBN Legal business name Nudak Ventures Llc
DBA Doing business as Nucara Pharmacy #20
Authorized official Willis, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 21st, 2017 - about 7 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 1174682561 NPPES
Iowa MEDICAID 0704309
Iowa Other 2132876

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