Hy-Vee Pharmacy #4 (1108)

LBN: Hy-Vee Inc
Hy-Vee Pharmacy #4 (1108) is an health care organization with primary practice located at 4064 E 53Rd St , Davenport IA 52807-3033. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hy-Vee Inc can be contacted via phone (563) 359-3120, or through Nelson, Angie via phone (515) 267-2800.

Contact Information

Primary practice address
4064 E 53Rd St Davenport IA 52807-3033
Phone: (563) 359-3120
Fax: (563) 359-1137
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Angie
Phone: (515) 267-2800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1199 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X 1199 Iowa

Profile Details

NPI number 1326077959
LBN Legal business name Hy-Vee Inc
DBA Doing business as Hy-Vee Pharmacy #4 (1108)
Authorized official Nelson, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326077959 NPPES
Iowa Other 1621475 NCPDP
Iowa MEDICAID 0279687 NCPDP

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