NUDAK VENTURES LLC NPI 1689095952

NPI Details

NUDAK VENTURES LLC is a community/retail pharmacy pharmacy in Hawley, MN. 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 1689095952. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1106 HOBART STREET
HAWLEY, MN
ZIP 56549-626
Phone: (218) 486-4663
Fax: (218) 486-5327

The provider's authorized official is Lori 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 24D2148696 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 1/3/2014 and was last updated on 5/21/2025.

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: