Provider Demographics
NPI:1811544406
Name:BALYNOR INC
Entity Type:Organization
Organization Name:BALYNOR INC
Other - Org Name:LTC TRAV'S U-SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:V
Authorized Official - Last Name:KUCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RP
Authorized Official - Phone:308-946-3859
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68826-0252
Mailing Address - Country:US
Mailing Address - Phone:308-946-3859
Mailing Address - Fax:308-946-3850
Practice Address - Street 1:1414 16TH ST
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:NE
Practice Address - Zip Code:68826-1812
Practice Address - Country:US
Practice Address - Phone:308-946-3859
Practice Address - Fax:308-946-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy