Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1519)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
4125 N SHERIDAN RD # 20, PEORIA, IL 61614-7167
(309) 686-7058
(309) 757-7150
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
989110
MEDICARE FLU
IL
Enumeration date
06/25/2010
Last updated
10/07/2025
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