Nucara Pharmacy #4

LBN: Nudak Ventures Llc
Nucara Pharmacy #4 is an health care organization with primary practice located at 209 E San Marnan Dr Ste 100 , Waterloo IA 50702-5839. 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 (319) 236-8891, or through Willis, Lori Ann via phone (641) 366-3440.

Contact Information

Primary practice address
209 E San Marnan Dr Ste 100 Waterloo IA 50702-5839
Phone: (319) 236-8891
Fax: (319) 236-9665
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 1112 Iowa

Profile Details

NPI number 1700987435
LBN Legal business name Nudak Ventures Llc
DBA Doing business as Nucara Pharmacy #4
Authorized official Willis, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 7th, 2013 - about 13 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 1700987435 NPPES
Other 1620358 NCPDP PROVIDER IDENTIFICATION NUMBER

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