Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1221)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
115 WILMAR AVE, GRAND ISLAND, NE 68803-3547
(308) 381-0328
(308) 381-2685
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0061
(515) 267-2800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
334
NE
3336C0003X
Community/Retail Pharmacy
Primary
334
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025601600
—
NE
01
—
28-17560
NCPDP
NE
Enumeration date
01/07/2008
Last updated
10/04/2023
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