Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #1 (1377)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
3504 CLINTON PKWY, LAWRENCE, KS 66047-2145
(785) 832-0110
(785) 832-0516
Mailing address
PO BOX 310442, DES MOINES, IA 50331-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
208556
KS
3336C0003X
Community/Retail Pharmacy
Primary
8361
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433460A
—
KS
05
—
100433460B
—
KS
01
—
1715676
NCPDP
KS
Enumeration date
06/18/2006
Last updated
08/29/2023
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