Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1071)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1200 S 16TH ST, CLARINDA, IA 51632-2919
(712) 542-6546
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
310
IA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203639
—
IA
05
—
10025730900
—
NE
01
—
16-23556
NCPDP
IA
05
—
1972748861
—
MI
05
—
1972748861
—
MT
05
—
4427076 00
—
MD
Enumeration date
12/08/2008
Last updated
10/04/2023
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