Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1400)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
900 E MAIN ST, MARSHALL, MN 56258-2503
(507) 532-2556
(507) 532-2514
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
261907-5
MN
3336C0003X
Community/Retail Pharmacy
Primary
2619075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2423666
NCPDP
MN
05
—
8535350
—
SD
05
—
963193300
—
MN
Enumeration date
06/07/2006
Last updated
10/04/2023
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