Organization
HY-VEE INC
Active
Other names
Hy-Vee Clinic Pharmacy (1628)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1012 OKOBOJI AVE, MILFORD, IA 51351-1375
(712) 338-4865
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(712) 225-1903
(712) 225-5700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1334
IA
3336C0003X
Community/Retail Pharmacy
Primary
1334
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-23188
NCPDP
IA
05
—
1689860678
—
IA
Enumeration date
09/24/2007
Last updated
10/04/2023
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