1063735272

Everything you always wanted to know about HY VEE INC 3 HY-VEE PHARMACY (1082) EGELAND G. ROBERT but were afraid to ask.

HY VEE INC 3 HY-VEE PHARMACY (1082) EGELAND G. ROBERT

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
HY VEE INC 3 HY-VEE PHARMACY (1082) EGELAND G. ROBERT
Gender:
none
Enumeration date:
2010-03-03
Last update date:
2010-08-24
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
000045189 Medicare PIN none MO 1
0213410262 Medicare NSC none MO 1

Taxonomies

Taxonomy State License Number Primary?
3336C0003X Community/Retail Pharmacy none none

Phone Numbers

Type Number
Mailing Address Telephone Number 7122251903
Practice Location Address Telephone Number 5734427706
Authorized Official Telephone Number 5154532784
Mailing Address Fax Number 7122255700
Practice Location Address Fax Number 5734428028

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 61 CHEROKEE IA 51012 IA
Practice Location Address 25 CONLEY RD COLUMBIA MO 65201 MO

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321 N. MAIN ST. IA MARCUS
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3019 ROCKINGHAM RD IA DAVENPORT
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Individual
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1821420746 GREENLEE, TOM
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Organization
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Organization
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Organization
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1417121112 HY VEE INC
Organization
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Individual
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Organization
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Organization
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Organization
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Organization
800 N 2ND ST IA CHEROKEE
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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Organization
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