Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1547)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
500 CROSSROADS DR SW, ROCHESTER, MN 55902-2183
(507) 280-9441
(507) 292-7767
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
0261551
MN
3336C0003X
Community/Retail Pharmacy
Primary
261551-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422549
NCPDP
MN
05
—
811465000
—
MN
Enumeration date
07/03/2006
Last updated
10/04/2023
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