Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #4 (1512)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G. EGELAND R.PH. (ASST. VICE PRESIDENT, PHARMACY)
(515) 453-2784
Entity
Organization
Contact information
Practice address
10118 W 119TH ST, OVERLAND PARK, KS 66213-1600
(913) 491-6261
(913) 491-6293
Mailing address
5820 WESTOWN PKWY, WEST DES MOINES, IA 50266-8223
(515) 453-2784
(515) 327-2162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8908
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433400A
—
KS
Enumeration date
06/25/2006
Last updated
10/04/2023
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