Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1511)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1620 S CEDAR AVE, OWATONNA, MN 55060-3922
(507) 451-0179
(507) 451-9386
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346484573
—
MN
01
—
730000051
MEDICARE FLU
MN
Enumeration date
05/01/2009
Last updated
10/04/2023
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