Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1136)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3330 MARTIN LUTHER KING JR PKWY, DES MOINES, IA 50310-5672
(515) 255-6213
(515) 255-8806
Mailing address
PO BOX 310442, DES MOINES, IA 50331-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
869
IA
3336C0003X
Community/Retail Pharmacy
Primary
869
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233916
—
IA
01
—
1614571
NCPDP
IA
Enumeration date
06/23/2006
Last updated
02/09/2023
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