Charla Fields, CHW-C, CPHT

NPI 1033889647 · on the registry since 2021 · sole proprietor

Practice

Address: 1173 E Hines St
Republic, MO 65738
Phone: (417) 735-0055
Organisation at this address: Hines Street Pharmacy Llc
Hines Street Pharmacy Llc
Hines Street Pharmacy 2 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 172V00000X
172V00000X
Also registered as: 183700000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri