IndividualActive
Latisha Hall
NPI 1235027368 · Pharmacy Technician · Republic, MO
Provider details
- NPI number
- 1235027368
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2022033873 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1173 E Hines St
Republic, MO 65738-1277
Phone: (417) 735-0055
Approximate (ZIP-level) locationGet directions
Mailing address
1173 E Hines St
Republic, MO 65738-1277
Registry dates
- Enumerated
- 2025-06-26
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.