Provider Demographics
NPI:1710521133
Name:U-SAVE PHARMACY NORFOLK INC
Entity Type:Organization
Organization Name:U-SAVE PHARMACY NORFOLK INC
Other - Org Name:NORFOLK LTC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-379-8728
Mailing Address - Street 1:1001 W BENJAMIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2804
Mailing Address - Country:US
Mailing Address - Phone:402-379-8728
Mailing Address - Fax:402-371-1200
Practice Address - Street 1:1001 W BENJAMIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2804
Practice Address - Country:US
Practice Address - Phone:402-379-8728
Practice Address - Fax:402-371-1200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:U-SAVE PHARMACY NORFOLK INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-29
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026077300Medicaid