Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1303)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3721 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0536
(573) 634-2628
(573) 635-1768
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
2007028956
MO
3336C0003X
Community/Retail Pharmacy
Primary
PENDING
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-37621
NCPDP
MO
05
—
606337806
—
MO
Enumeration date
08/22/2007
Last updated
02/09/2023
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