Provider Demographics
NPI:1124366851
Name:U-SAVE PHARMACY INC
Entity Type:Organization
Organization Name:U-SAVE PHARMACY INC
Other - Org Name:U SAVE PHARMACY GRETNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:308-398-1964
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-0099
Mailing Address - Country:US
Mailing Address - Phone:402-332-5990
Mailing Address - Fax:402-332-0266
Practice Address - Street 1:611 N HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028
Practice Address - Country:US
Practice Address - Phone:402-332-5990
Practice Address - Fax:402-332-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29693336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026262700Medicaid
2138468OtherPK
NE10026262700Medicaid