Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1324)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3111 MAIN ST, KEOKUK, IA 52632-2231
(319) 524-9535
(319) 524-9540
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
1090
IA
3336C0003X
Community/Retail Pharmacy
Primary
1090
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619987
NCPDP
IA
05
—
191486
—
IA
05
—
605217900
—
MO
Enumeration date
06/25/2006
Last updated
11/27/2024
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