Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1416)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
4218 AVENUE OF THE CITIES, MOLINE, IL 61265-4544
(309) 764-4373
(309) 764-4593
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
54014528
IL
3336C0003X
Community/Retail Pharmacy
Primary
54-014528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538728
—
IA
01
—
1473533
NCPDP
IL
Enumeration date
07/02/2006
Last updated
10/03/2023
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