Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1219)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
7117 N PROSPECT AVE, GLADSTONE, MO 64119-1123
(816) 452-7711
(816) 452-9329
Mailing address
PO BOX 850422, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5503
MO
3336C0003X
Community/Retail Pharmacy
Primary
5503
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2628317
NCPDP
MO
05
—
603645409
—
MO
Enumeration date
07/04/2006
Last updated
04/25/2023
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