Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1522)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1215 141ST ST, PERRY, IA 50220-8127
(515) 465-3543
(515) 465-9467
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
350
IA
3336C0003X
Community/Retail Pharmacy
Primary
350
IA
3336L0003X
Long Term Care Pharmacy
350
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001989
—
CT
05
—
0132530
—
IA
05
—
0181668 00
—
MD
05
—
10025652500
—
NE
01
—
1604443
NCPDP
IA
05
—
1982630364
—
MI
05
—
1982630364
—
MO
05
—
201009930A
—
IN
05
—
8535480
—
SD
05
—
877970200
—
MN
Enumeration date
06/25/2006
Last updated
09/22/2023
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