Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1335)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
500 N BALTIMORE ST, KIRKSVILLE, MO 63501-3214
(660) 665-7400
(660) 665-0961
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
5281
MO
3336C0003X
Community/Retail Pharmacy
Primary
5281
MO
3336L0003X
Long Term Care Pharmacy
5281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086347
—
LA
01
—
2627505
NCPDP
MO
05
—
602979809
—
MO
05
—
622979805
—
MO
Enumeration date
07/04/2006
Last updated
04/25/2023
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