Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1410)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
2400 4TH ST SW, MASON CITY, IA 50401-4664
(641) 424-1343
(641) 424-0105
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
237
IA
3336C0003X
Community/Retail Pharmacy
Primary
237
IA
3336L0003X
Long Term Care Pharmacy
237
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620726
NCPDP
IA
05
—
214221
—
IA
05
—
580071400
—
MN
Enumeration date
06/30/2006
Last updated
10/04/2023
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