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General NPI Number Information
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NPI Number | 1285906628
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Entity Type | Organization
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Legal Business Name | HY-VEE INC
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 907 S STATE ST
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City | FAIRMONT
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State | MN
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Zip | 56031-4441
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Country | US
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Telephone | 507-238-2880
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Fax | 507-238-2895
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Provider Business Mailing Address
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Address Line | PO BOX 850442
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City | MINNEAPOLIS
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State | MN
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Zip | 55485-0442
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Country | US
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Telephone | 515-267-2800
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Fax | 515-559-2593
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ANGIE NELSON
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Credential |
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Telephone | 515-267-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 263836
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License Number State | MN
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