Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1533)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1400 HARRISON, QUINCY, IL 52301
(217) 222-2930
(217) 221-9135
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
54015727
IL
3336C0003X
Community/Retail Pharmacy
Primary
54-015727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722413
—
IA
01
—
1478432
NCPDP
IL
05
—
606241602
—
MO
05
—
626241608
—
MO
Enumeration date
07/02/2006
Last updated
06/19/2023
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