Organization
MCM PHARMACY INC
Active
Other names
U-Save Pharmacy NW
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MILLER BS (OWNER/PHCY MANAGER)
(308) 384-9010
Entity
Organization
Contact information
Practice address
3224 W 13TH ST, GRAND ISLAND, NE 68803-2445
(308) 384-9010
(308) 384-9096
Mailing address
3224 W 13TH ST, GRAND ISLAND, NE 68803-2445
(308) 384-9010
(308) 384-9096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2910
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026068000
—
NE
01
—
2131342
PK
—
Enumeration date
09/28/2006
Last updated
07/19/2018
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