# HY-VEE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hy-Vee Pharmacy \#1 (1533)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134158934
- **Authorized official:** ANGIE NELSON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (515) 267-2800

## Contact information

- **Practice address:** 1400 HARRISON, QUINCY, IL 52301
- **Practice address phone:** (217) 222-2930
- **Practice address fax:** (217) 221-9135
- **Mailing address:** PO BOX 850442, MINNEAPOLIS, MN 55485-0442
- **Mailing address phone:** (515) 267-2800
- **Mailing address fax:** (515) 559-2593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 54015727 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | 54-015727 | IL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 06/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0722413 | — | IA |
| 01 | — | 1478432 | NCPDP | IL |
| 05 | — | 606241602 | — | MO |
| 05 | — | 626241608 | — | MO |