Hines Street Pharmacy LLC
Hines Street Pharmacy LLC is a Diabetes Educator Registered Nurse in Republic, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1173 E Hines StRepublic, MO 65738-1277
Phone: (417) 735-0055
Fax: (417) 732-1529
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 2012001548 (MO) |
|---|---|
| Diabetes Educator Registered Nurse | Taxonomy 163WD0400X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1740559764 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen McClanahan — Owner · (417) 735-0055 |
| Other names | Hines Street Pharmacy Llc; Hines Street Pharmacy Llc |
| NPI enumerated | December 20, 2011 |
| Last updated in NPPES | November 24, 2020 |
| Certification date | November 24, 2020 |
| Mailing address | 1173 E Hines St, Republic, MO 65738-1277 |