Provider Demographics
NPI:1427133875
Name:U-SAVE PHARMACY OF MCCOOK LLC
Entity type:Organization
Organization Name:U-SAVE PHARMACY OF MCCOOK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:308-345-5670
Mailing Address - Street 1:902 N HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2981
Mailing Address - Country:US
Mailing Address - Phone:308-345-5670
Mailing Address - Fax:308-345-5676
Practice Address - Street 1:902 N HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-2981
Practice Address - Country:US
Practice Address - Phone:308-345-5670
Practice Address - Fax:308-345-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE332B00000X, 332BX2000X, 3336C0003X, 3336C0004X, 3336L0003X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025536600Medicaid
NE5932790001Medicare NSC