Organization
HINES STREET PHARMACY 2 LLC
Active
Parent organization
HINES STREET PHARMACY 2 LLC
Other names
Battlefield Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HINES STREET PHARMACY 2 LLC
Authorized official
STEPHEN L MCCLANAHAN II (OWNER)
(417) 735-0055
Entity
Organization
Contact information
Practice address
4062 W REPUBLIC RD, BATTLEFIELD, MO 65619-7108
(417) 735-0055
Mailing address
1173 E HINES ST, REPUBLIC, MO 65738-1277
(417) 735-0055
(417) 732-1529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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