Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1464)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
18101 W. 119TH ST, OLATHE, KS 66061
(913) 393-4154
(913) 393-3211
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
210080
KS
3336C0003X
Community/Retail Pharmacy
Primary
210080
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433400C
—
KS
05
—
100433400D
—
KS
01
—
1718949
NCPDP
KS
Enumeration date
07/17/2006
Last updated
10/04/2023
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