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16D2260918 CLIA NUMBER - NUDAK VENTURES LLC DBA NUCARA PHARMACY #44

Laboratory Demographics

CLIA Number: 16D2260918

Facility Name: NUDAK VENTURES LLC DBA NUCARA PHARMACY #44

Facility Address:
621 G AVENUE
GRUNDY CENTER, IA
ZIP 50638
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Facility Phone Number: 319 824-5446

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1164516027

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 16D2260918
LAB Type Pharmacy
Facility Name NUDAK VENTURES LLC DBA NUCARA PHARMACY #44
Street 621 G AVENUE
City GRUNDY CENTER
State IA
ZIP 50638
Phone 319 824-5446
CertificateType 4
CertificateEffectiveDate 5/24/2022
CertificateExpirationDate 5/23/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024