Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1520)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
7610 N ORANGE PRAIRIE ROAD, PEORIA, IL 61615
(309) 589-1003
(309) 693-3267
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-90832
NCPDP
IL
Enumeration date
07/17/2015
Last updated
10/03/2023
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