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NUDAK VENTURES LLC NPI 1437162112


NPI Information

NPI: 1437162112
Provider Name: NUDAK VENTURES LLC

Doing Business As: NUCARA PHARMACY #1

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D2067859

Address:
1900 JAMES ST STE 10B
CORALVILLE, IA
ZIP 52241
Phone: (319) 354-6006
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NUDAK VENTURES LLC is a community/retail pharmacy pharmacy in Coralville, IA. The provider is 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. NUDAK VENTURES LLC NPI is 1437162112. The provider is registered as an organization entity type.
The provider Is Doing Business As Nucara Pharmacy #1.

The provider's business location address is:

1900 JAMES ST STE 10B
CORALVILLE, IA
ZIP 52241-895
Phone: (319) 354-6006
Fax: (319) 354-6050

The provider's authorized official is Lori Ann Willis .
The authorized official title is Acquisitions Manager and has the following contact phone number (641) 366-3440.

The CLIA number assigned to this NPI record is 16D2067859 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
43336C0004XPharmacyCompounding PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy1091IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12136152OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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