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Contact Information

NUDAK VENTURES LLC
722 MAIN ST
ACKLEY, IA50601-1538
 Phone: 641-847-2585
 Fax: 641-847-2332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NUDAK VENTURES LLC

NPI # 1033120548
LBN Legal business name NUDAK VENTURES LLC
Authorized official LORI WILLIS - (ACQUISITIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 05/06/2025 - More than a year ago
Identifiers
IA License # 700
IA Medicaid 0180869
Other 2136149 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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