HINES STREET PHARMACY 2 LLC

Family Medicine

Active Organization
NPI: 1790439842

Practice Address

1173 E HINES ST
Republic, MO 65738

Phone: (417) 735-0055

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Clinic/Center - Multi-Specialty 261QM1300X No -
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1790439842 is the National Provider Identifier for HINES STREET PHARMACY 2 LLC, a Family Medicine provider located in Republic, MO. This NPI was enumerated on February 8, 2022.

Quick Facts

NPI
1790439842
Type
Organization
Enumerated
Feb 8, 2022
Last Updated
Aug 25, 2022

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