Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1636)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
819 GRAND AVE, SPENCER, IA 51301-3640
(712) 262-5611
(712) 262-2092
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
1180
IA
3336C0003X
Community/Retail Pharmacy
Primary
1180
IA
3336L0003X
Long Term Care Pharmacy
1180
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255232
—
IA
01
—
1621196
NCPDP
IA
Enumeration date
06/24/2006
Last updated
10/04/2023
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