Hines Street Pharmacy Llc
LBN: Hines Street Pharmacy Llc
Hines Street Pharmacy Llc is an health care organization with primary practice located at 1173 E Hines St , Republic MO 65738-1277. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hines Street Pharmacy Llc can be contacted via phone (417) 735-0055, or through Mcclanahan, Stephen L via phone (417) 735-0055.
Contact Information
Primary practice address
1173 E Hines St
Republic MO 65738-1277
Phone: (417) 735-0055
Fax: (417) 732-1529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2012001548 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1740559764 |
|---|---|
| LBN Legal business name | Hines Street Pharmacy Llc |
| DBA Doing business as | Hines Street Pharmacy Llc |
| Authorized official | Mcclanahan, Stephen L RPH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2011 |
| Last updated | Nov 24th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740559764 | NPPES |
| Other | 2133471 | PK | |
| MEDICAID | 609551700 | PK |
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