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NPI 1386729515

NPI 1386729515 : USAVE PHARMACY MILFORD : MILFORD, NE

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General NPI Number Information
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    NPI Number           |    1386729515
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    Entity Type          |    Organization 
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    Legal Business Name  |    USAVE PHARMACY MILFORD 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    10/28/2021
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Provider Practice Location Address
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    Address Line         |    610 1ST ST 
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    City                 |    MILFORD
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    State                |    NE
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    Zip                  |    68405-9611
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    Country              |    US
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    Telephone            |    402-761-2222
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    Fax                  |    402-761-2248
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Provider Business Mailing Address
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    Address Line         |    PO BOX 706 
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    City                 |    MILFORD
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    State                |    NE
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    Zip                  |    68405
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    Country              |    US
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    Telephone            |    402-761-2222
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. TRAVIS MICHAEL MALOLEY 
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    Credential           |    PHARM. D.
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    Telephone            |    308-324-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    2456
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    License Number State |    NE
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