Provider Demographics
NPI:1700993359
Name:U-SAVE PHARMACY INC
Entity Type:Organization
Organization Name:U-SAVE PHARMACY INC
Other - Org Name:U SAVE PHARMACY GI CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT,AO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:308-380-9656
Mailing Address - Street 1:2444 W FAIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4327
Mailing Address - Country:US
Mailing Address - Phone:308-389-4282
Mailing Address - Fax:308-389-4282
Practice Address - Street 1:2444 W FAIDLEY AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4327
Practice Address - Country:US
Practice Address - Phone:308-389-4282
Practice Address - Fax:308-389-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30523336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151007OtherPK
NE=========01Medicaid