Organization
NORTH PLATTE PAVILION PHARMACY INC
Active
Organization
NORTH PLATTE PAVILION PHARMACY INC
Active
Other names
U-Save Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS COVEY RPH (PHARMACIST,AO)
(308) 221-6993
Entity
Organization
Contact information
Practice address
611 W FRANCIS ST STE 130, NORTH PLATTE, NE 69101-0614
(308) 221-6993
(308) 221-6997
Mailing address
611 W FRANCIS ST STE 130, NORTH PLATTE, NE 69101-0614
(308) 221-6993
(308) 221-6997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3094
NE
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026570500
—
NE
01
—
2159808
PK
—
Enumeration date
04/25/2016
Last updated
03/30/2017
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