Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1384)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
109 NORTH BLUE JAY DRIVE, LIBERTY, MO 64068-1906
(816) 792-4632
(816) 792-1429
Mailing address
PO BOX 310442, DES MOINES, IA 50331-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5780
MO
3336C0003X
Community/Retail Pharmacy
Primary
5780
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2629535
NCPDP
MO
05
—
607860509
—
MO
Enumeration date
06/28/2006
Last updated
04/25/2023
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