Hines Street Pharmacy LLC

NPI #1679252829 in Republic, Missouri

Provider Information

NPI Number
1679252829
Entity Type
Organization
Organization Name
Hines Street Pharmacy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HINES STREET PHARMACY LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jul 14, 2023
Last Updated
Jul 14, 2023

Practice Location

Address
1173 E HINES ST
ZIP Code
65738-1277
Phone
(417) 735-0055

Authorized Official

Name
STEPHEN L MCCLANAHAN
Title
OWNER
Phone
(417) 735-0055

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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