Organization
HY-VEE INC
Active
Other names
Hy-Vee Clinic Pharmacy (1504)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
301 W JEFFERSON ST, BLOOMFIELD, IA 52537-1647
(641) 664-2975
(641) 664-2856
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
744
IA
3336C0003X
Community/Retail Pharmacy
Primary
744
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479832
—
IA
01
—
1622465
NCPDP
IA
05
—
603176009
—
MO
Enumeration date
06/12/2006
Last updated
09/22/2023
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