Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1039)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
790 22ND AVE S, BROOKINGS, SD 57006-2822
(605) 692-7311
(605) 692-6064
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
100-1864
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-1864
SD
3336L0003X
Long Term Care Pharmacy
100-1864
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353683
NCPDP
SD
05
—
8504190
—
SD
05
—
9566820
—
SD
Enumeration date
07/03/2006
Last updated
10/04/2023
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