Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #4 (1890)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
555 S 51ST ST, WEST DES MOINES, IA 50265-6967
(515) 221-2751
(515) 221-2987
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
1291
IA
3336C0003X
Community/Retail Pharmacy
Primary
1291
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486225
—
IA
01
—
1622504
NCPDP
IA
Enumeration date
07/03/2006
Last updated
10/04/2023
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