Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1393)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
410 S RIVERFRONT DR, MANKATO, MN 56001-3773
(507) 345-5091
(507) 345-3637
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
2619321
MN
3336C0003X
Community/Retail Pharmacy
Primary
261932-1
MN
3336L0003X
Long Term Care Pharmacy
2619321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2423818
NCPDP
MN
05
—
320450200
—
MN
Enumeration date
07/02/2006
Last updated
03/21/2024
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