# E HEALTH PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912506437
- **Authorized official:** BLAINE ALAN CARTER PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (417) 414-5495

## Contact information

- **Practice address:** 411D NORTHVIEW RD, NIXA, MO 65714-8679
- **Practice address phone:** (417) 414-5495
- **Mailing address:** 1173 E HINES ST, REPUBLIC, MO 65738-1277
- **Mailing address phone:** (417) 414-5495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020
