Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1466)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
14591 STONY BROOK BLVD., OMAHA, NE 68137-2609
(402) 697-0928
(402) 697-1710
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
2192
NE
3336C0003X
Community/Retail Pharmacy
Primary
2192
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0943696
—
IA
01
—
2814350
NCPDP
NE
01
—
870023731
MEDICARE RR
NE
Enumeration date
06/18/2006
Last updated
09/29/2023
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