Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #6 (1638)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1231 E 57TH ST, SIOUX FALLS, SD 57108-5411
(605) 274-7062
(605) 274-7065
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-1960
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366758559
—
SD
01
—
S103594
MEDICARE FLU
SD
Enumeration date
08/25/2010
Last updated
10/04/2023
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