# HY-VEE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hy-Vee Clinic Pharmacy (1871)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134286875
- **Authorized official:** ROBERT G. EGELAND (VICE PRESIDENT, PHARMACY)
- **Authorized official phone:** (515) 453-2784

## Contact information

- **Practice address:** 525 5TH ST SE, WATERTOWN, SD 57201-4940
- **Practice address phone:** (605) 886-4207
- **Mailing address:** PO BOX 61, CHEROKEE, IA 51012-0061
- **Mailing address phone:** (712) 225-1903
- **Mailing address fax:** (712) 225-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100-1921 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | 1001921 | SD | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 10/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4353986 | NCPDP | SD |
| 05 | — | 8504410 | — | SD |
| 01 | — | S40975 | MEDICARE | SD |