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Provider Information for 1780994566


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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GI PHARMACY INC

Other Names:  
Doing Business As: 
U SAVE PHARMACY 4TH STREET
Doing Business As: 
U SAVE PHARAMCY 4TH ST

Organization Subpart: NO

NPI: 1780994566
Last Updated: 2020-06-26
Certification Date: 2020-06-26

Details

NameValue
NPI1780994566
Enumeration Date2010-10-14
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. JOSE GUERRERO PHARMD.
Title: MANAGER
Phone: 3083847372
Mailing Address 423 W 4TH ST
GRAND ISLAND, NE 68801-4503
United States

Phone: 308-384-7372 | Fax:308-384-6067
 
Primary Practice Address 423 W 4TH ST
GRAND ISLAND, NE 68801-4503
United States

Phone: 308-384-7372 | Fax:308-384-6067
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNE10025901800
Other (non-Medicare)2126756PK
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyNE2892