Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1640)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
2115 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-4501
(217) 726-1003
(712) 546-2567
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
—
989110
MEDICARE MASS IMMUNIZATION
IL
Enumeration date
04/04/2014
Last updated
10/04/2023
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