Nucara Compounding Pharmacy

LBN: Nudak Ventures Llc
Nucara Compounding Pharmacy is an health care organization with primary practice located at 105 W Main St Ste A , Ottumwa IA 52501-2542. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Nudak Ventures Llc can be contacted via phone (641) 683-8168, or through Willis, Lori Ann via phone (641) 366-3440.

Contact Information

Primary practice address
105 W Main St Ste A Ottumwa IA 52501-2542
Phone: (641) 683-8168
Fax: (515) 684-5407
Website:
Map and Directions
Authorized official contact:
Name: Willis, Lori Ann
Phone: (641) 366-3440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X 1057 Iowa

Profile Details

NPI number 1306903992
LBN Legal business name Nudak Ventures Llc
DBA Doing business as Nucara Compounding Pharmacy
Authorized official Willis, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 12th, 2019 - about 5 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 1306903992 NPPES
Other 1619595 NCPDP PROVIDER IDENTIFICATION NUMBER

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