Hines Street Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Republic, MO
NPI 1679252829 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1679252829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- HINES STREET PHARMACY LLC
- Practice address
- 1173 E Hines St
Republic, MO 65738-1277 - Phone
- (417) 735-0055
- NPI assigned
- Jul 14, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- HINES STREET PHARMACY LLC
Authorized official
- Name
- Stephen L McClanahan
- Title
- Owner
- Phone
- (417) 735-0055
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Hines Street Pharmacy LLC
- Part of
- Hines Street Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
1173 E Hines St
Republic, MO 65738-1277
Mailing address
1173 E Hines St
Republic, MO 65738-1277
Phone (417) 735-0055
Other providers in Republic, MO
- Linse L Hawks
- Healthy Roots Counseling, LLC
- David J Heitman
- Kathryn A. Herfkens-Ampleman
- Hines Street Pharmacy 2 LLC
- Hines Street Pharmacy LLC
- Martin Dale Hodges
- Amanda S Hoge
- Alexandria Paige Holmes
- Drew Holtz
All providers in Republic, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.