Healthcare Provider Details

I. General information

NPI: 1578998076
Provider Name (Legal Business Name): U SAVE RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N DIXIELAND RD F2
ROGERS AR
72756-1123
US

IV. Provider business mailing address

100 N DIXIELAND RD F2
ROGERS AR
72756-1123
US

V. Phone/Fax

Practice location:
  • Phone: 479-531-7129
  • Fax:
Mailing address:
  • Phone: 479-531-7129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPD05556
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPD05556
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPD05556
License Number StateAR

VIII. Authorized Official

Name: DR. JIMMY DON MILHOLEN
Title or Position: PHARMACY EXECUTIVE
Credential: PD
Phone: 479-531-7129