Provider Demographics
NPI:1023361011
Name:SEDAHL, SONYA LYNETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:LYNETTE
Last Name:SEDAHL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:LYNETTE
Other - Last Name:PLUEGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2501 CORNHUSKER PLAZA
Mailing Address - Street 2:HY-VEE PHARMACY #1620
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-3910
Mailing Address - Country:US
Mailing Address - Phone:402-494-3021
Mailing Address - Fax:402-494-4969
Practice Address - Street 1:2501 CORNHUSKER PLAZA
Practice Address - Street 2:HY-VEE PHARMACY #1620
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3910
Practice Address - Country:US
Practice Address - Phone:402-494-3021
Practice Address - Fax:402-494-4969
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12785183500000X
IA20830183500000X
SD5644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist