24D2169932 CLIA NUMBER - NUDAK VENTURES, LLC DBA NUCARA PHARMACY #41

Laboratory Demographics

CLIA Number: 24D2169932

Facility Name: NUDAK VENTURES, LLC DBA NUCARA PHARMACY #41

Facility Address:
5418 ST CROIX TRAIL, STE 102
NORTH BRANCH, MN
ZIP 55056
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Facility Phone Number: 651 243-5325

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265084792

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 24D2169932
LAB Type Pharmacy
Facility Name NUDAK VENTURES, LLC DBA NUCARA PHARMACY #41
Street 5418 ST CROIX TRAIL, STE 102
City NORTH BRANCH
State MN
ZIP 55056
Phone 651 243-5325
CertificateType 4
CertificateEffectiveDate 7/30/2023
CertificateExpirationDate 7/29/2025
FacilityType Waiver

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