Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #3 (1632)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3000 S MINNESOTA AVE, SIOUX FALLS, SD 57105-5647
(605) 334-8012
(605) 334-7949
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
100-0522
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-0522
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4303739
NCPDP
SD
05
—
8502630
—
SD
05
—
931668100
—
MN
05
—
931668100
—
SD
05
—
980474
—
IA
Enumeration date
07/04/2006
Last updated
10/04/2023
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