Healthcare Provider Details

I. General information

NPI: 1932239662
Provider Name (Legal Business Name): SAV-RX PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 N PARK AVE
FREMONT NE
68025-4964
US

IV. Provider business mailing address

224 N PARK AVE
FREMONT NE
68025-4964
US

V. Phone/Fax

Practice location:
  • Phone: 800-228-3108
  • Fax: 888-810-1394
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number2104NE
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY PITI
Title or Position: VP
Credential:
Phone: 800-228-2181