Organization
HY-VEE INC
Active
Other names
Hy-Vee Clinic Pharmacy (1871)
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G. EGELAND (VICE PRESIDENT, PHARMACY)
(515) 453-2784
Entity
Organization
Contact information
Practice address
525 5TH ST SE, WATERTOWN, SD 57201-4940
(605) 886-4207
Mailing address
PO BOX 61, CHEROKEE, IA 51012-0061
(712) 225-1903
(712) 225-5700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100-1921
SD
3336C0003X
Community/Retail Pharmacy
Primary
1001921
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353986
NCPDP
SD
05
—
8504410
—
SD
01
—
S40975
MEDICARE
SD
Enumeration date
01/02/2007
Last updated
10/04/2023
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