Provider Demographics
NPI:1902588445
Name:KUHILL, INC
Entity Type:Organization
Organization Name:KUHILL, INC
Other - Org Name:LTC TRAV'S U-SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT/PIC
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:V
Authorized Official - Last Name:KUCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RP
Authorized Official - Phone:402-603-8728
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:NE
Mailing Address - Zip Code:68651-0182
Mailing Address - Country:US
Mailing Address - Phone:402-603-8728
Mailing Address - Fax:402-603-8788
Practice Address - Street 1:415 HAWKEYE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:NE
Practice Address - Zip Code:68651-4474
Practice Address - Country:US
Practice Address - Phone:402-603-8728
Practice Address - Fax:402-603-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10028183200Medicaid
NE13OtherSTATE LICENSE