Organization
HY-VEE INC
Active
Other names
Hy-vee Pharmacy (1406)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1217 S MAIN ST, MARYVILLE, MO 64468-2603
(660) 582-2199
(660) 582-2456
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
745472
MO
3336C0003X
Community/Retail Pharmacy
Primary
745472
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535260
—
IA
01
—
2632710
NCPDP
MO
05
—
604780205
—
MO
05
—
624780201
—
MO
Enumeration date
07/04/2006
Last updated
09/22/2023
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