Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #10 (1474)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3410 N 156TH ST, OMAHA, NE 68116-2020
(402) 445-6109
(402) 498-0313
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
2635
NE
3336C0003X
Community/Retail Pharmacy
Primary
157
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252093-00
—
NE
01
—
2816950
NCPDP
NE
Enumeration date
06/26/2006
Last updated
10/04/2023
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