Organization
HY-VEE INC
Active
Other names
Hy-Vee Drugstore Clinic (7060)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
111 E WALNUT ST, COLUMBUS JUNCTION, IA 52738-1014
(319) 728-3144
(319) 728-3156
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
1148
IA
3336C0003X
Community/Retail Pharmacy
Primary
1148
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225367
—
IA
01
—
1620904
NCPDP
IA
Enumeration date
06/11/2006
Last updated
10/04/2023
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