MEDICARE: DAVID FLOWERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	9912	AZ

General Provider Information

NPI Number	:	1265425649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID FLOWERS

Provider Business Mailing Address
First Line	:	29719 FAIRWAY BLUFF DR
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4473
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29719 FAIRWAY BLUFF DR
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4473
Country	:	US
Telephone Number	:	830-388-0358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/14/2014

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Directions to “ DAVID FLOWERS ” Practice Location

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