Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1619)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
500 S FREMONT ST, SHENANDOAH, IA 51601-1508
(712) 246-3440
(712) 246-5691
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
156
IA
3336C0003X
Community/Retail Pharmacy
Primary
156
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701161
—
IA
01
—
16-23330
NCPDP
IA
05
—
1952586976
—
IA
Enumeration date
01/09/2008
Last updated
04/25/2023
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