| NPI | 1326077959 |
|---|---|
| Doing Business As | HY-VEE PHARMACY #4 (1108) |
| Entity Type | Organization |
| Authorized Contact | ANGIE NELSON Senior Vice President 515-267-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 1199) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1199) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-10-04 |