Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1548)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
500 37TH ST NW, ROCHESTER, MN 55901-3404
(507) 289-7408
(507) 289-9036
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
0608619
MN
3336C0003X
Community/Retail Pharmacy
Primary
0608619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158360300
—
MN
01
—
2420064
NCPDP
MN
Enumeration date
06/11/2006
Last updated
02/16/2023
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