Nucara Pharmacy Long Term Care #2

LBN: Nudak Ventures North Dakota, Llc
Nucara Pharmacy Long Term Care #2 is an health care organization with primary practice located at 979 Central Ave N , Valley City ND 58072-2149. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Nudak Ventures North Dakota, Llc can be contacted via phone (701) 845-6885, or through Willis, Lori Ann via phone (641) 366-3440.

Contact Information

Primary practice address
979 Central Ave N Valley City ND 58072-2149
Fax: (701) 845-6920
Website:
Authorized official contact:
Name: Willis, Lori Ann

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR842 North Dakota

Profile Details

NPI number 1750650230
LBN Legal business name Nudak Ventures North Dakota, Llc
DBA Doing business as Nucara Pharmacy Long Term Care #2
Authorized official Willis, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2011
Last updated Aug 6th, 2020 - about 4 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 1750650230 NPPES
Other 2140809 PK
MEDICAID 21604 PK

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