Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1202)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
2606 AVENUE L, FORT MADISON, IA 52627-3839
(319) 372-9396
(319) 372-9610
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
1113
IA
3336C0003X
Community/Retail Pharmacy
Primary
1113
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620384
NCPDP
IA
05
—
202655
—
IA
05
—
605285006
—
MO
Enumeration date
06/24/2006
Last updated
09/22/2023
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