Hines Street Pharmacy 2 LLC
NPI #1255171039 in Marionville, Missouri
Provider Information
- NPI Number
- 1255171039
- Entity Type
- Organization
- Organization Name
- Hines Street Pharmacy 2 LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HINES STREET PHARMACY 2 LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 29, 2024
- Last Updated
- May 29, 2024
Practice Location
- Address
- 201 S HIGHWAY 60
- City
- Marionville
- State
- Missouri
- ZIP Code
- 65705-9407
- Phone
- (417) 735-0055
Authorized Official
- Name
- STEPHEN L MCCLANAHAN
- Title
- OWNER
- Phone
- (417) 735-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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