Organization
HY-VEE INC
Active
Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1532)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
7620 STATELINE, PRAIRIE VILLAGE, KS 66208
(913) 383-8322
(913) 383-8362
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
209299
IA
3336C0003X
Community/Retail Pharmacy
Primary
8909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433510A
—
KS
05
—
10043351D
—
KS
01
—
1716488
NCPDP
KS
05
—
602780017
—
MO
Enumeration date
06/29/2006
Last updated
04/25/2023
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