340B Drug Pricing Program Database

Pharmacy Name

HY-VEE PHARMACY

Pharmacy Address

120 EAST NORFOLK AVENUE
NORFOLK, NE 68701

Pharmacy Comments

Approval Date

10/11/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

KATHY NORDBY, Cheif Executive Officer
(402) 370-1060

Contract Pharmacy Representative

Hy-Vee
Ashley Plum, 340B Coordinator
(515) 559-5708

Signed By Date

10/11/2019