Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1398)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
601 THIRD STREET, MANHATTAN, KS 66502
(785) 587-8648
(785) 587-8679
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13255
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051352
MEDICARE FLU - MASS IMMUNIZATION
KS
05
—
100433400G
—
KS
01
—
17-19749
NCPDP
KS
Enumeration date
07/06/2009
Last updated
02/09/2023
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