NPI: 1124039763 · STORY CITY, IA 50248 · Pharmacy · NPI assigned 08/10/2006
| Authorized Official | WILLIS, LORI (DELEGATED OFFICIAL) |
| NPI Enumeration Date | 08/10/2006 |
Other providers sharing the same authorized official: WILLIS, LORI
| Provider | City | State | Total Paid |
|---|---|---|---|
| NUDAK VENTURES, LLC | WATERLOO | IA | $331K |
| NUDAK VENTURES LLC | NEVADA | IA | $14K |
| PM ACQUISITION, LLC | IOWA CITY | IA | $8K |
| NUDAK VENTURES LLC | FAIRFIELD | IA | $6K |
| GREENFIELD PHARMACY LLC | GREENFIELD | IA | $4K |
| NUDAK VENTURES LLC | WEST UNION | IA | $3K |
| NUDAK VENTURES LLC | AMES | IA | $2K |
| NUDAK VENTURES LLC | ACKLEY | IA | $1K |
| MOUNTAIN LAKE PHARMACY LLC | MOUNTAIN LAKE | MN | $931.91 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 30 | $672.00 |