HINES STREET PHARMACY 2 LLC NPI 1255171039

NPI Information

  • NPI: 1255171039
  • Provider Name: HINES STREET PHARMACY 2 LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 201 S HIGHWAY 60
    MARIONVILLE, MO
    ZIP 65705
  • Phone: (417) 735-0055

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NPI Details

HINES STREET PHARMACY 2 LLC is a family medicine in Marionville, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HINES STREET PHARMACY 2 LLC NPI is 1255171039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 S HIGHWAY 60
MARIONVILLE, MO
ZIP 65705-407
Phone: (417) 735-0055

The provider's authorized official is Stephen L Mcclanahan .
The authorized official title is Owner and has the following contact phone number (417) 735-0055.

The enumeration date for this NPI number is 5/29/2024 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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