Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1081)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
405 E NIFONG BLVD, COLUMBIA, MO 65201-3708
(573) 442-8616
(573) 442-8652
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1800129830
—
MO
01
—
2638813
NCPDP
MO
Enumeration date
08/25/2009
Last updated
09/15/2023
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