Provider Demographics
NPI:1629525704
Name:U-SAVE PHARMACY INC
Entity Type:Organization
Organization Name:U-SAVE PHARMACY INC
Other - Org Name:U-SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISOR/AO
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-532-0310
Mailing Address - Street 1:13851 GUILDFORD ST STE D
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-1453
Mailing Address - Country:US
Mailing Address - Phone:402-786-0225
Mailing Address - Fax:402-786-2155
Practice Address - Street 1:13851 GUILDFORD ST STE D
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NE
Practice Address - Zip Code:68462-1453
Practice Address - Country:US
Practice Address - Phone:402-786-0225
Practice Address - Fax:402-786-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
NE6763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164017OtherPK