Organization
HY-VEE INC
Active
Other names
HY VEE PHARMACY (1047)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
825 N MAIN ST, CANTON, IL 61520-1272
(309) 785-5029
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
54-016106
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1480312
NCPDP
IL
01
—
1480312
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/03/2007
Last updated
10/04/2023
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