Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1019)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
2708 BRIDGE AVE, ALBERT LEA, MN 56007-2077
(507) 373-1899
(507) 373-2179
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
261481-8
MN
3336C0003X
Community/Retail Pharmacy
Primary
261481-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422284
NCPDP
MN
05
—
976319800
—
MN
Enumeration date
07/02/2006
Last updated
10/04/2023
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