Organization
HY-VEE INC
Active
Other names
HY VEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
111650 S 73RD ST, PAPILLION, NE 68046-1500
(402) 597-5056
(402) 339-4596
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 557-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2755
NE
3336C0003X
Community/Retail Pharmacy
Primary
2755
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025507200
—
NE
01
—
2817382
OTHER ID NUMBER
—
Enumeration date
04/19/2007
Last updated
02/08/2023
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