Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #11 (1478)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1000 S 178TH ST, OMAHA, NE 68118-3542
(402) 334-4922
(402) 334-4954
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1387
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098986
MEDICARE - FLU
NE
05
—
10026102000
—
NE
Enumeration date
09/07/2011
Last updated
10/04/2023
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