Organization · Type 2 NPI

Hines Street Pharmacy LLC

Community/Retail Pharmacy · Republic, MO

NPI number 1740559764 Active

Practice location

1173 E Hines St
Republic, MO 65738-1277

Fax (417) 732-1529

Specialties and licenses

Taxonomy	Code	License
Diabetes Educator Registered Nurse	163WD0400X	None listed
Community/Retail Pharmacy Primary	3336C0003X	2012001548 (MO)
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

12 other providers at this address

Other community/retail pharmacy providers in Republic

Wal-Mart Stores East LPCommunity/Retail Pharmacy Republic, MO NPI 1407873755

See all in Republic →

NPI record

NPI: 1740559764
Entity type: Organization (Type 2)
Issued: Dec 20, 2011
Last updated: Nov 24, 2020
Status: Active

Other names

<unavail>
Hines Street Pharmacy LLC · doing business as
Hines Street Pharmacy LLC · doing business as

Authorized official

Mr. Stephen L McClanahan, RPH.
Owner
(417) 735-0055

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1740559764

Hines Street Pharmacy LLC's National Provider Identifier is 1740559764, issued on Dec 20, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Republic, MO. The record was last updated on Nov 24, 2020.