SearchMissouri183700000X

Latisha Hall

NPI 1235027368 · on the registry since 2025 · 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
183700000X
183700000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-07

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