Organization
HY-VEE INC
Active
Organization
HY-VEE INC
Active
Other names
Hy-Vee Clinic Pharmacy (7060)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
312 N 2ND ST, WAPELLO, IA 52653-1204
(319) 523-3784
(319) 523-3299
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
484
IA
3336C0003X
Community/Retail Pharmacy
Primary
484
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231647
—
IA
01
—
1620930
NCPDP
IA
05
—
687965000
—
MN
Enumeration date
06/08/2006
Last updated
09/22/2023
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