Basic Information
| Provider Information | |||||||||
| NPI: | 1336533108 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | U SAVE PHARMACIES LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | U-SAVE PHARMACY #626 | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3700 CAHABA BEACH RD | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352425225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054212146 | ||||||||
| FaxNumber: | 2053805527 | ||||||||
| Practice Location | |||||||||
| Address1: | 26 PARKWAY DR | ||||||||
| Address2: | |||||||||
| City: | FT OGLETHORPE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 307424248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7069562851 | ||||||||
| FaxNumber: | 7069562853 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2015 | ||||||||
| LastUpdateDate: | 03/26/2015 | ||||||||
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| AuthorizedOfficialLastName: | GANDHAKWALA | ||||||||
| AuthorizedOfficialFirstName: | HART | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PHARMACY DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2054212146 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336C0003X | Y | Suppliers | Pharmacy | Community/Retail Pharmacy |
ID Information
| ID | Type | State | Issuer | Description | 2150934 | 01 | PK | OTHER |