Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1215)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SVP PHARMACY)
(515) 267-7703
Entity
Organization
Contact information
Practice address
1975 NATIONAL BLVD, GALESBURG, IL 61401-1488
(309) 344-1101
(309) 344-2063
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
54014026
IL
3336C0003X
Community/Retail Pharmacy
Primary
54-014026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1469700
NCPDP
IL
Enumeration date
07/07/2006
Last updated
10/04/2023
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