Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #4 (1467)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
10808 FORT ST, OMAHA, NE 68164-2100
(402) 493-2323
(402) 965-9694
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
2117
NE
3336C0003X
Community/Retail Pharmacy
Primary
2117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2813978
NCPDP
NE
01
—
870023731
MEDICARE RR
NE
Enumeration date
06/20/2006
Last updated
10/04/2023
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