Organization
HY-VEE INC
Active
Other names
Hy-Vee Clinic Pharmacy (1634)
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G. EGELAND (VP, PHARMACY)
(515) 453-2784
Entity
Organization
Contact information
Practice address
606 LAKE AVE, STORM LAKE, IA 50588-1852
(712) 732-5067
(712) 732-4039
Mailing address
PO BOX 61, CHEROKEE, IA 51012-0061
(712) 225-1903
(712) 225-5700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
616
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-23239
NCPDP
IA
05
—
1891975033
—
IA
Enumeration date
11/05/2007
Last updated
10/04/2023
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