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Organization
HY-VEE INC
Active
Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #5 (1637)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3020 E 10TH ST, SIOUX FALLS, SD 57103-2135
(605) 336-8998
(605) 336-8953
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1001817
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-1817
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538629
—
IA
01
—
4305048
NCPDP
SD
05
—
8501170
—
SD
05
—
9161100
—
SD
Enumeration date
07/04/2006
Last updated
10/04/2023
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