Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #3 (1615)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3301 GORDON DR, SIOUX CITY, IA 51105-3708
(712) 234-1949
(712) 255-8087
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
1050
IA
3336C0003X
Community/Retail Pharmacy
Primary
1050
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619189
NCPDP
IA
05
—
176255
—
IA
05
—
8531840
—
SD
Enumeration date
06/25/2006
Last updated
04/25/2023
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