Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1353)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
809 W ROCK ISLAND ST, KNOXVILLE, IA 50138-1461
(641) 842-2512
(641) 842-4549
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
1122
IA
3336C0003X
Community/Retail Pharmacy
Primary
1122
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206730
—
IA
01
—
1620497
NCPDP
IA
Enumeration date
06/11/2006
Last updated
10/04/2023
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