Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1180)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1300 W BURLINGTON AVE, FAIRFIELD, IA 52556-2766
(641) 472-3542
(641) 469-6201
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
1000
IA
3336L0003X
Long Term Care Pharmacy
1000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149112
—
IA
01
—
1618466
NCPDP
IA
Enumeration date
06/19/2006
Last updated
04/08/2024
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