Organization
HY-VEE INC
Active
Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #9 (1472)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
17810 WELCH PLZ, OMAHA, NE 68135-1620
(402) 891-0600
(402) 891-1239
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2588
NE
3336C0003X
Community/Retail Pharmacy
Primary
107
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250413-00
—
NE
05
—
1164467585
—
IA
01
—
2816633
NCPDP
NE
Enumeration date
06/19/2006
Last updated
04/08/2024
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