Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1077)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1210 WASHINGTON ST, CHILLICOTHE, MO 64601-1309
(660) 646-1280
(660) 646-1146
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5774
MO
3336C0003X
Community/Retail Pharmacy
Primary
5774
MO
3336L0003X
Long Term Care Pharmacy
5774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2629547
NCPDP
MO
01
—
2634031
NCPDP NURSING HOME
MO
05
—
601894504
—
MO
05
—
621894500
—
MO
Enumeration date
06/29/2006
Last updated
03/06/2023
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