Hines Street Pharmacy LLC
NPI #1740559764 in Republic, Missouri
Provider Information
- NPI Number
- 1740559764
- Entity Type
- Organization
- Organization Name
- Hines Street Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 20, 2011
- Last Updated
- Nov 24, 2020
Practice Location
Authorized Official
- Name
- MR. STEPHEN L MCCLANAHAN II, RPH.
- Title
- OWNER
- Phone
- (417) 735-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Diabetes Educator — Diabetes Educator |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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