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General NPI Number Information
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NPI Number | 1285653923
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Entity Type | Organization
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Legal Business Name | HY-VEE INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 3994 NW URBANDALE DR
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City | URBANDALE
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State | IA
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Zip | 50322-7922
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Country | US
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Telephone | 515-278-0117
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Fax | 515-278-6165
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Provider Business Mailing Address
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Address Line | 5820 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8223
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Country | US
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Telephone | 515-453-2784
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Fax | 515-327-2162
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Authorized Official
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Title or Position | ASST. VICE PRESIDENT, PHARMACY
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Name | MR. ROBERT G. EGELAND
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Credential | R.PH.
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Telephone | 515-453-2784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 1211
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License Number State | IA
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