Organization
HY-VEE INC
Active
Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1544)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1605 N BROADWAY ST, RED OAK, IA 51566-1027
(712) 623-3370
(712) 623-2839
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
755
IA
3336C0003X
Community/Retail Pharmacy
Primary
755
IA
3336L0003X
Long Term Care Pharmacy
755
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224188
—
IA
01
—
1620827
NCPDP
IA
Enumeration date
06/25/2006
Last updated
02/09/2023
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