Nudak Ventures North Dakota, LLC
Organization Active NPI Community/Retail Pharmacy · Walhalla, ND
NPI 1053414565 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1053414565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 88 (ND)
- Legal business name
- NUDAK VENTURES NORTH DAKOTA, LLC
- Practice address
- 1102 Central Ave
Walhalla, ND 58282-4017 - Phone
- (701) 549-2661
- Fax
- (701) 549-2664
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Lori Willis
- Title
- Acquisitions Manager
- Phone
- (641) 366-3440
Practitioners 10
-
Kelsey Carlson, PHARMD
-
Beverly J Clairmont, R.PH.
-
Spencer E Clairmont, R.PH. ,FELLOW, ASCP
-
Matthew Craig Degree, RPH
-
Gail Kristina Hoffart, PHARMD
-
Jennifer Kutz, PHARMD, RPH
-
Susan Marie Long, PHARM.D.
-
Sarah Ressler, PHARMD
-
Angela Marie Thompson, PHD, PHARMD
National Provider Directory
Locations
308 Railway St
Enderlin, ND 58027
Phone (701) 437-2464
234 Central Ave N
Valley City, ND 58072
Phone (701) 845-2652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 88 | ND | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1102 Central Ave
Walhalla, ND 58282-4017
Mailing address
PO Box 640
Conrad, IA 50621-0640
Phone (641) 366-3440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3503617 | Other | ND | NCPDP NUMBER |
Other names
- NuCara Pharmacy #43
Other providers in Walhalla, ND
- Karla N Parkes, PLLC
- Mary Lafferty
- Stephanie Lafferty
- Shanon S Lene
- Libertas
- Karla Parkes
- Stephen James Parkes
- Speech Wellness Services, LLC
- Walhalla Ambulance Service
- Walhalla Community Hospital Association
All providers in Walhalla, ND · Community/Retail Pharmacy in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.