Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #3 (1510)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G. EGELAND R.PH. (VICE PRESIDENT, PHARMACY)
(515) 453-2784
Entity
Organization
Contact information
Practice address
6801 W 91ST ST, OVERLAND PARK, KS 66212-1459
(913) 385-7373
(913) 385-5126
Mailing address
PO BOX 61, CHEROKEE, IA 51012-0061
(712) 225-1903
(712) 225-5700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
209624
KS
3336C0003X
Community/Retail Pharmacy
Primary
8878
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433500A
—
KS
01
—
1716349
NCPDP
KS
Enumeration date
06/18/2006
Last updated
10/04/2023
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