Nudak Ventures North Dakota Llc, NPI 1356453369
Community/Retail Pharmacy in Enderlin, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356453369
NPI Entity Type Organization
Provider Name Nudak Ventures North Dakota Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 308 Railway St, Enderlin, ND, US
Provider Mailing Address Po Box 640, Conrad, IA, US, 506210640
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Lori Ann Willis
Official Position ACQUISITIONS MANAGER
Phone 641-366-3440

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHAR828
License State ND
Description 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.

Other Organization Name

NuCara Pharmacy #35
Doing Business As

Business Address

Nudak Ventures North Dakota Llc
308 Railway St

Enderlin, ND, US

Phone: 701-437-2464
Fax: 701-437-2466

Mailing Address

Nudak Ventures North Dakota Llc
Po Box 640
Conrad, IA, US
ZIP 506210640
Phone: 641-366-3440
Fax: 641-366-3442

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2151340 PK 01
21625 ND MEDICAID 05

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NPI Name Taxonomy Address

1417688698

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LCWS Samantha Navratil

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LPCC Naomi Tabassum

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Great Kids Therapy, Ltd.

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DR. DDS Patrick J Capp

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LCSW Erika Louise Lake

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LPCC Megan Tarryn Degenstein

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

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