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Organization

HY-VEE INC

Active
Other names
Hy-Vee Pharmacy #3 (1469)
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization

Contact information

Practice address
8809 W CENTER RD, OMAHA, NE 68124-2044
(402) 384-9085
(402) 384-9075
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
2403
NE
3336C0003X
Community/Retail Pharmacy
Primary
2403
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0583377
IA
01
2815578
NCPDP
NE
01
870023731
MEDICARE RR
NE
Enumeration date
06/18/2006
Last updated
10/03/2023
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