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Organization

HY-VEE INC

Active
Other names
Hy-Vee Pharmacy (1642)
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization

Contact information

Practice address
2700 DEKALB AVE, SYCAMORE, IL 60178-3127
(815) 758-8995
(815) 758-4915
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
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1485514
NCPDP
IL
01
989110
MEDICARE FLU
IL
Enumeration date
04/19/2011
Last updated
10/04/2023
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