Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #3 (1322)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
5330 NW 64TH STREET, KANSAS CITY, MO 64151-2414
(816) 505-7163
(816) 505-1768
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
2011019727
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831482512
—
MO
Enumeration date
05/27/2011
Last updated
10/04/2023
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