Hines Street Pharmacy 2 LLC
NPI #1790439842 in Republic, Missouri
Provider Information
- NPI Number
- 1790439842
- Entity Type
- Organization
- Organization Name
- Hines Street Pharmacy 2 LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 8, 2022
- Last Updated
- Aug 25, 2022
Practice Location
Authorized Official
- Name
- STEVE MCCLANAHAN
- Title
- OWNER
- Phone
- (417) 735-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Family Medicine |
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