Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1610)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
2827 HAMILTON BLVD, SIOUX CITY, IA 51104-2403
(712) 277-8734
(712) 277-2329
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
488
IA
3336C0003X
Community/Retail Pharmacy
Primary
488
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139535
—
IA
01
—
1609897
NCPDP
IA
05
—
5831470
—
SD
Enumeration date
07/03/2006
Last updated
10/04/2023
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