Healthcare Provider Details

I. General information

NPI: 1700993359
Provider Name (Legal Business Name): U-SAVE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 W FAIDLEY AVE
GRAND ISLAND NE
68803-4327
US

IV. Provider business mailing address

2444 W FAIDLEY AVE
GRAND ISLAND NE
68803-4327
US

V. Phone/Fax

Practice location:
  • Phone: 308-389-4282
  • Fax: 308-389-2393
Mailing address:
  • Phone: 308-389-4282
  • Fax: 308-389-4282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3052
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HAMIK
Title or Position: PRESIDENT,AO
Credential: RPH
Phone: 308-380-9656