Healthcare Provider Details

I. General information

NPI: 1386729515
Provider Name (Legal Business Name): USAVE PHARMACY MILFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 1ST ST
MILFORD NE
68405-9611
US

IV. Provider business mailing address

PO BOX 706
MILFORD NE
68405
US

V. Phone/Fax

Practice location:
  • Phone: 402-761-2222
  • Fax: 402-761-2248
Mailing address:
  • Phone: 402-761-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2456
License Number StateNE

VIII. Authorized Official

Name: DR. TRAVIS MICHAEL MALOLEY
Title or Position: PRESIDENT
Credential: PHARM. D.
Phone: 308-324-6325