Provider Demographics
NPI:1821247552
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:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGCOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-289-2576
Mailing Address - Street 1:PO BOX 968
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-0968
Mailing Address - Country:US
Mailing Address - Phone:402-289-2576
Mailing Address - Fax:402-289-2540
Practice Address - Street 1:940 N 204TH AVE
Practice Address - Street 2:STE 270
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4606
Practice Address - Country:US
Practice Address - Phone:402-289-2576
Practice Address - Fax:402-289-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE28153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2817712OtherNCPDP PROVIDER IDENTIFICATION NUMBER