Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1641)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1720 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-5359
(417) 881-1217
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
2011031082
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000045189
MEDICARE FLU
MO
Enumeration date
08/25/2011
Last updated
10/04/2023
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