Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1422)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
6655 MARTWAY ST, MISSION, KS 66202-3290
(913) 831-4477
(913) 831-9263
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
209081
KS
3336C0003X
Community/Retail Pharmacy
Primary
8030
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433490A
—
KS
05
—
100459120A
—
KS
01
—
1714888
NCPDP
KS
Enumeration date
06/18/2006
Last updated
10/04/2023
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