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NPI Code Detail

MEDICARE: HY-VEE INC

MEDICARE: HY-VEE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy2916NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NA2368OTHERNEMEDICARE

General Provider Information

NPI Number : 1245660042
Entity Type Code : Organization
Provider Name (Legal Business Name) : HY-VEE INC
Provider Business Mailing Address
First Line : PO BOX 61
Second Line :
City : CHEROKEE
State : IA
Zip : 51012-0061
Country : US
Telephone Number : 712-225-1903
Fax Number : 515-559-2593
Provider Business Practice Location Address
First Line : 1000 S 178TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68118-3542
Country : US
Telephone Number : 402-334-4922
Fax Number : 402-334-4912
Authorized Official
Title or Position : VICE PRESIDENT
Name : ROBERT G. EGELAND
Credential :
Telephone Number : 515-453-2784
Provider Enumeration Date : 11/15/2013
Last Update Date : 10/04/2023

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Directions to “HY-VEE INC ” Practice Location

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