Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy #2 (1381)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
310 SW WARD RD, LEES SUMMIT, MO 64081-2445
(816) 554-2211
(816) 554-2086
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
6028
MO
3336C0003X
Community/Retail Pharmacy
Primary
5780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630754
NCPDP
MO
05
—
608578308
—
MO
Enumeration date
07/06/2006
Last updated
10/04/2023
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