| NPI | 1720020142 |
|---|---|
| Doing Business As | HY-VEE PHARMACY #4 (1633) |
| Entity Type | Organization |
| Authorized Contact | ANGIE NELSON Senior Vice President 515-267-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1001809) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 100-1809) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-10-04 |