Nucara Pharmacy #16

LBN: Nudak Ventures Llc
Nucara Pharmacy #16 is an health care organization with primary practice located at 107 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 / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nudak Ventures Llc can be contacted via phone (641) 684-5453, or through Willis, Lori Ann via phone (641) 366-3440.

Contact Information

Primary practice address
107 W Main St Ste A Ottumwa IA 52501-2542
Phone: (641) 684-5453
Fax: (641) 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 / Community/Retail Pharmacy 3336C0003X 809 Iowa

Profile Details

NPI number 1730117581
LBN Legal business name Nudak Ventures Llc
DBA Doing business as Nucara Pharmacy #16
Authorized official Willis, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
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 1730117581 NPPES
Iowa MEDICAID 0210209
Iowa Other 2136154

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