NPI 1053414565

Nudak Ventures North Dakota, LLC

Organisation Community/Retail Pharmacy Walhalla, ND

Practice location

Address: 1102 Central Ave, Walhalla, ND 58282-4017
Phone: (701) 549-2661
Fax: (701) 549-2664
Mailing address: PO Box 640, Conrad, IA 50621-0640

Authorised official

Name: Lori Willis
Title: Acquisitions Manager
Phone: (641) 366-3440

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 88 (ND)

Other Pharmacy providers in North Dakota →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1053414565
Entity type: Organization
NPI issued: 7 Sep 2006
Record last updated: 6 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.