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NPI Code Detail

MEDICARE: USAVE PHARMACY MILFORD

MEDICARE: USAVE PHARMACY MILFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail Pharmacy2456NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12816114OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32055587OTHERPK

General Provider Information

NPI Number : 1386729515
Entity Type Code : Organization
Provider Name (Legal Business Name) : USAVE PHARMACY MILFORD
Provider Business Mailing Address
First Line : PO BOX 706
Second Line :
City : MILFORD
State : NE
Zip : 68405
Country : US
Telephone Number : 402-761-2222
Fax Number :
Provider Business Practice Location Address
First Line : 610 1ST ST
Second Line :
City : MILFORD
State : NE
Zip : 68405-9611
Country : US
Telephone Number : 402-761-2222
Fax Number : 402-761-2248
Authorized Official
Title or Position : PRESIDENT
Name : DR. TRAVIS MICHAEL MALOLEY
Credential : PHARM. D.
Telephone Number : 308-324-6325
Provider Enumeration Date : 10/26/2006
Last Update Date : 10/28/2021

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Directions to “USAVE PHARMACY MILFORD ” Practice Location

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